Organization Active NPI

KC Childrens Surgery Center LLC

  • Pediatric Dentistry
  • Kansas City, KS
National Provider Identifier
1760349757
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KC CHILDRENS SURGERY CENTER LLC
Practice address
7848 State Ave
Kansas City, KS 66112-2417
Phone
(443) 228-3062
Fax
(717) 996-3128
NPI assigned
Jan 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Jennifer Conrad
Title
Auth Supervisor
Phone
(443) 228-3062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7848 State Ave
Kansas City, KS 66112-2417

Mailing address

31024 Lorine St
Deland, FL 32720-5675
Phone (443) 228-3062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1760349757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31024 LORINE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205675",
            "telephone_number": "443-228-3062",
            "fax_number": "717-996-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7848 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122417",
            "telephone_number": "443-228-3062",
            "fax_number": "717-996-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CHILDRENS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AUTH SUPERVISOR",
        "authorized_official_telephone_number": "443-228-3062"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.