Kansas City Facial and Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

KANSAS CITY FACIAL AND ORAL SURGERY, LLC

Practice address

2931 NE Independence Ave.
Lees Summit, MO 64064-6406

Phone

(816) 598-8166

NPI assigned

Jun 26, 2020

Last updated

Jun 26, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Hollabaugh, MD, DDSNPI 1518224757

Title

Oral and Maxillofacial Surgeon

Phone

(816) 598-8166

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian A Hollabaugh, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
  • NPI 1518224757
  NPD Authorized official
• Gregory Lohr, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lee's Summit, MO
  • NPI 1437579208
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1700403722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SW SHORES DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640644502",
            "telephone_number": "816-510-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 NE INDEPENDENCE AVE.",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640646406",
            "telephone_number": "816-598-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY FACIAL AND ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "HOLLABAUGH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "816-598-8166",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minhanh Kam, FNP
• Jeffrey Kamp
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• Kansas City Clinical Neurology Associates, LTD.
• Kansas City Disc and Nerve Center
• Kansas City Health Systems, Inc (Mediquip)
• Kansas City Home Medical Supply, LLC.
• Kansas City Medical Exams LLC
• Kansas City Medical Partners LLC
• Kansas City Neurology Associates LLC

• Oral and Maxillofacial Surgery (Dentist) in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.