Organization Active NPI

Secure of Victory Hills KS DDS LLC

  • General Practice Dentistry
  • Kansas City, KS
National Provider Identifier
1871416115
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SECURE OF VICTORY HILLS KS DDS LLC
Practice address
7716 State Ave
Kansas City, KS 66112-2820
Phone
(918) 376-6600
NPI assigned
Aug 3, 2026
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Philip Park, DDS
Title
Owner
Phone
(918) 376-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7716 State Ave
Kansas City, KS 66112-2820

Mailing address

7716 State Ave
Kansas City, KS 66112-2820

National Provider Directory

National Provider Directory

Locations

7716 State Ave
Kansas City, KS 66112

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1871416115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122820",
            "telephone_number": "918-376-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE OF VICTORY HILLS KS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-376-6600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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 Aug 3, 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.