Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMMIT ORAL SURGERY CENTER LLC
NPI 1437083615
Clinic/Center - Ambulatory Surgical in Independence, MO

Active since June 11, 2026
19921 E JACKSON DR, INDEPENDENCE, MO 64057(816) 271-0110(816) 429-9333 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 11, 2026, Aug 11, 2026 (2 updates tracked since 2026).

About Summit Oral Surgery Center Llc NPPES

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

SUMMIT ORAL SURGERY CENTER LLC (NPI 1437083615), doing business as Independence Surgery Center, is a healthcare organization registered as an ambulatory surgical in Independence, Missouri and active in the NPI registry since June 2026. The organization lists Michael Lee, Center Admin; Board Of Managers, as its authorized official.

NPPES Registry Identity

NPI1437083615
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT ORAL SURGERY CENTER LLC
Location Address19921 E JACKSON DRIndependence, MO 64057-1596
Mailing Address19921 E Jackson DrIndependence, MO 64057-1596 · (816) 271-0110
Fax(816) 429-9333
Organization SubpartNo
Authorized OfficialMichael LeeCenter Admin; Board Of Managers · (816) 271-0110
Enumeration DateJune 11, 2026
Last NPPES UpdateOctober 11, 20262 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1437083615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
19921 E JACKSON DR, Independence, MO 64057

Other Names 1

Doing Business AsIndependence Surgery Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
19921 E JACKSON DR
INDEPENDENCE, MO 64057

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 Summit Oral Surgery Center LLC's NPI number?

The NPI number for Summit Oral Surgery Center LLC is 1437083615. It was assigned to this organization in the NPPES registry on June 11, 2026. The provider is doing business as Independence Surgery Center.

Where is Summit Oral Surgery Center LLC located?

Summit Oral Surgery Center LLC is located at 19921 E Jackson Dr, Independence, MO 64057. The listed phone number is (816) 271-0110.

What is Summit Oral Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Summit Oral Surgery Center LLC was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.