Individual provider Active NPI

Jenna Behrents Walburn, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
National Provider Identifier
1770922940
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
61944 Issued in KS
Practice address
14710 Metcalf Ave
Overland Park, KS 66223
Phone
(913) 529-8636
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008754 AZ
Dentist 122300000X 61944 KS
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2017004356 MO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 61944 KS Primary

Addresses

Primary practice location

14710 Metcalf Ave
Overland Park, KS 66223

Mailing address

14710 Metcalf Ave
Overland Park, KS 66223
Phone (913) 529-8636

Other practice location 1

309 SW Market St
Lees Summit, MO 64063-2315
Phone (816) 246-4671

Other practice location 2

Mailstop 4003
3901 Rainbow Blvd., KS 66160
Phone (913) 588-2010

Other names 1

  • Jenna Lauren Behrents Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61944KSMDDentist
D008754AZMDGeneral Practice Dentistry
2017004356MOMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Walburn Orthodontics LLC Orthodontics and Dentofacial Orthopedics CurrentSince Apr 6, 2025 Accepting new patients
Scott V. Law, D.M.D. Missouri, LLC Orthodontics and Dentofacial Orthopedics PastSince Sep 1, 2021 Accepting new patients

Locations

14710 Metcalf Ave
Overland Park, KS 66223
Phone (913) 529-8636

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1770922940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14710 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-529-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-529-8636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 SW Market St",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640632315",
            "country_code": "US",
            "telephone_number": "816-246-4671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Mailstop 4003",
            "address_purpose": "LOCATION",
            "city": "3901 Rainbow Blvd.",
            "state": "KS",
            "postal_code": "66160",
            "country_code": "US",
            "telephone_number": "913-588-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALBURN",
        "first_name": "JENNA",
        "middle_name": "BEHRENTS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008754",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61944",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2017004356",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "61944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BEHRENTS",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.