Individual provider Active NPI

Scott Bryan Herre, D.D.S.

  • Dentist
  • Leawood, KS
National Provider Identifier
1891886859
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6485 Issued in KS
Practice address
11237 Nall Ave Ste 140
Leawood, KS 66211-1639
Phone
(913) 913-7341
Fax
(913) 912-7343
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6485 KS Primary

Addresses

Primary practice location

11237 Nall Ave Ste 140
Leawood, KS 66211-1639

Mailing address

11237 Nall Ave Ste 140
Leawood, KS 66211-1639
Phone (913) 912-7341

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

State licenses

LicenseStateTypeSpecialty
6485KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University Park Dental Associates Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1891886859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11237 NALL AVE STE 140",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111639",
            "telephone_number": "913-912-7341",
            "fax_number": "913-912-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11237 NALL AVE STE 140",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111639",
            "telephone_number": "913-913-7341",
            "fax_number": "913-912-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRE",
        "first_name": "SCOTT",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.