KANSAS CITY CLEFT AND CRANIOFACIAL CENTER PA
NPI 1073258414
Dentist - Oral and Maxillofacial Surgery in Overland Park, KS

Q: What is Kansas City Cleft And Craniofacial Center PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since April 30, 2022

12200 W 106TH ST, OVERLAND PARK, KS 66215(816) 561-1115 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2024, Apr 30, 2022 (2 updates tracked since 2022).

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About Kansas City Cleft And Craniofacial Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANSAS CITY CLEFT AND CRANIOFACIAL CENTER PA (NPI 1073258414) is a healthcare organization registered as an oral and maxillofacial surgery in Overland Park, Kansas and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Kansas City and lists Patrick Christopher, President, as its authorized official.

NPPES Registry Identity

NPI1073258414

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameKANSAS CITY CLEFT AND CRANIOFACIAL CENTER PA

Location Address12200 W 106TH STOverland Park, KS 66215-2305

Mailing Address4700 Belleview Ave Ste L10Kansas City, MO 64112-1360 · (605) 376-3014

Phone(816) 561-1115

Organization SubpartNo

Authorized OfficialPatrick ChristopherPresident · (605) 376-3014

Enumeration DateApril 30, 2022

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1073258414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12200 W 106TH ST, Overland Park, KS 66215

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Secondary Practice Location 1

Location 14700 Belleview Ave Ste L10Kansas City, MO 64112-1360 · Phone (816) 561-1115

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kansas City Cleft And Craniofacial Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kansas City Cleft And Craniofacial Center PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Zachary Brown, DDS, MD

Oral Surgery

NPI 1114347861

4700 BELLEVIEW AVE STE L10
Kansas City, MO 64112

(573) 353-8549

✔ PECOS✔ Accepts Medicare10.0 mi

Patrick Christopher, DDS

Oral Surgery

NPI 1821402645

2301 HOLMES ST
Kansas City, MO 64108

(816) 404-0500

✔ PECOS✔ Accepts Medicare13 mi

Nicholas Anggelis, D.M.D.

Maxillofacial Surgery

NPI 1659720027

984125 NEBRASKA MEDICAL CTR
Omaha, NE 68198

(402) 559-6445

✔ PECOS✔ Accepts Medicare173 mi

Ashley Stansbury, DDS, MD

Maxillofacial Surgery

NPI 1922414671

101 ARCHWAY CT
Lynchburg, VA 24502

(434) 832-8040

✔ PECOS✔ Accepts Medicare849 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kansas City Cleft And Craniofacial Center PA's NPI number?

The NPI number for Kansas City Cleft And Craniofacial Center PA is 1073258414. It was assigned to this organization in the NPPES registry on April 30, 2022.

Where is Kansas City Cleft And Craniofacial Center PA located?

Kansas City Cleft And Craniofacial Center PA is located at 12200 W 106th St, Overland Park, KS 66215. The listed phone number is (816) 561-1115.

What is Kansas City Cleft And Craniofacial Center PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kansas City Cleft And Craniofacial Center PA enrolled in Medicare?

Yes. Kansas City Cleft And Craniofacial Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kansas City Cleft And Craniofacial Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kansas City Cleft And Craniofacial Center PA, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kansas City Cleft And Craniofacial Center PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 1 other insurer list Kansas City Cleft And Craniofacial Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kansas City Cleft And Craniofacial Center PA was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.