KIRBY L KAVANAUGH DDS LLC – NPI #1396423588
Clinic/Center

KIRBY L KAVANAUGH DDS LLC is an AHC clinic located in KANSAS CITY, MO. NPPES has assigned the NPI number 1396423588 to KIRBY L KAVANAUGH DDS LLC on July 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIRBY L KAVANAUGH DDS LLC below.

NPI Profile for
KIRBY L KAVANAUGH DDS LLC

NPI Number
1396423588
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIRBY L KAVANAUGH DDS LLC
Primary location
4103 NW BARRY ROAD
KANSAS CITY, MO 64154
Phone: (816) 741-6200 Fax: (816) 741-9057
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIRBY KAVANAUGH
DENTIST/OWNER
Phone: (816) 741-6200
Updated
Certification Date
Jun 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.