Shaun Lydell Kanion, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2005015671 Issued in MO

Practice address

520 Pope Avenue
US Army Dental Activity
Ft. Leavenworth, KS 66027

Phone

(785) 239-7241

Fax

(785) 239-7245

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942354998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CANAAN LAKE DR",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093840",
            "telephone_number": "785-239-7241",
            "fax_number": "785-239-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 POPE AVENUE",
            "address_2": "US ARMY DENTAL ACTIVITY",
            "city": "FT. LEAVENWORTH",
            "state": "KS",
            "postal_code": "66027",
            "telephone_number": "785-239-7241",
            "fax_number": "785-239-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANION",
        "first_name": "SHAUN",
        "middle_name": "LYDELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0018545",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2005015671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Sydney Johnston, RD
• Raymond Paul Jones, RN
• Susan Rebecca Jones, LCSW, LCAS
• Rebecca Kay Jordan, R.N.
• Marty J Kaiser, LPN
• Alp Karaboga, MD
• Jamie Lynn Kasten, LPN
• Brendan Kelemen, DMD
• Megan Elizabeth Kennedy, PSYD
• Deanne Michele Kilian, ARNP

• General Practice Dentistry in Ft. Leavenworth, KS
• Providers in Ft. Leavenworth, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.