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DR. BRENTON A REAVLEY DDS
NPI 1780810853
Dentist - Endodontics in Kansas City, MO

Active since June 03, 2009Opted out of Medicare · through Mar 1, 2028
4151 N MULBERRY DR, SUITE 230, KANSAS CITY, MO 64116(816) 326-8204(816) 326-8431 Get Directions Write a Review

NPPES record last updated: July 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brenton A Reavley Dds NPPES

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

DR. BRENTON A REAVLEY DDS (NPI 1780810853) is an individual endodontics provider in Kansas City, Missouri, licensed in Missouri (2007014548) and active in the NPI registry since June 2009. He has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780810853
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. BRENTON A REAVLEYCredential: DDS
Location Address4151 N MULBERRY DR, SUITE 230Kansas City, MO 64116-4447
Mailing Address4151 N Mulberry Dr, Suite 230Kansas City, MO 64116-4447 · (816) 326-8204 · Fax (816) 326-8431
Phone(816) 326-8204
Fax(816) 326-8431
Sole ProprietorNo
Enumeration DateJune 3, 2009
Last NPPES UpdateJuly 20, 2009
✔ NPI 1780810853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MO · 2007014548
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 2007014548 (MO)
4151 N MULBERRY DR, Kansas City, MO 64116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brenton A Reavley Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2018 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2018
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

BRIARCLIFF FAMILY DENTAL
Clinic/Center (Dental)
4151 N MULBERRY DR
KANSAS CITY, MO 64116
Clay County (816) 877-0200
DR. DUSTIN BURLESON D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
4151 N MULBERRY DR, SUITE 210
KANSAS CITY, MO 64116
Clay County (816) 741-5311

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 Brenton Reavley's NPI number?

The NPI number for Brenton Reavley is 1780810853. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Brenton Reavley located?

Brenton Reavley practices at 4151 N Mulberry Dr Suite 230, Kansas City, MO 64116. The listed phone number is (816) 326-8204.

What is Brenton Reavley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Brenton Reavley enrolled in Medicare?

No. Brenton Reavley has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brenton Reavley accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Brenton Reavley 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 Brenton Reavley was last updated on July 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.