Mint Dental State Line

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MINT DENTAL STATE LINE

Practice address

12927 State Line Rd
Kansas City, MO 64145-1238

Phone

(913) 276-3809

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Dobbins

Title

Owner

Phone

(913) 276-3809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1932006558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12927 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451238",
            "telephone_number": "913-276-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTAL STATE LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-276-3809"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg E Minion, MD
• Minnesota Professional Medical Services LLC
• Joshua Seth Minnis, MSW
• Karen K Minor, FNP
• Mint Dental Barry, LLC. (Mint Dental)
• Alexander Minter, PMHNP
• Ashley Minton
• Abdul Rauf Mir, M.D.
• Ashley Marie Mirabile, RN, DNP
• Marissa Mirakian

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.