Individual provider Active NPI

Lillian Nacke, DDS

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1891629309
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62365 Issued in KS
Practice address
10925 Antioch Rd Ste 201
Overland Park, KS 66210-2119
Phone
(913) 491-1200
NPI assigned
Jun 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2026022104 MO
General Practice Dentistry 1223G0001X 62365 KS Primary

Addresses

Primary practice location

10925 Antioch Rd Ste 201
Overland Park, KS 66210-2119

Mailing address

10925 Antioch Rd Ste 201
Overland Park, KS 66210-2119
Phone (913) 491-1200

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Love to Smile Onsite, LLC General Practice PastSince Sep 15, 2019 Accepting new patients
Love to Smile, DDS PA General Practice PastSince Apr 1, 2019 Accepting new patients

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": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1891629309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 ANTIOCH RD STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102119",
            "telephone_number": "913-491-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 ANTIOCH RD STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102119",
            "telephone_number": "913-491-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACKE",
        "first_name": "LILLIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2026022104",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 10, 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.