OrganizationActive
Independence Pediatric Dentistry LLC
NPI 1376058420 · Pediatric Dentistry · Independence, MO
Independence Pediatric Dentistry LLC is a Pediatric Dentistry organization in Independence, MO (NPI 1376058420).
Provider details
- NPI number
- 1376058420
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shayna Bahr, Manager(816) 461-3661
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
651 E 24 Hwy
Independence, MO 64050-2974
Phone: (816) 461-3661
Fax: (913) 210-2224
Street-level locationGet directions
Mailing address
10975 Grandview Dr Ste 350
Overland Park, KS 66210-1522
Registry dates
- Enumerated
- 2017-12-12
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Frequently asked questions
- What is Independence Pediatric Dentistry LLC's NPI number?
- Independence Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1376058420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Pediatric Dentistry LLC?
- Independence Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Independence Pediatric Dentistry LLC located?
- Independence Pediatric Dentistry LLC's practice location on file with NPPES is 651 E 24 Hwy, Independence, MO 64050-2974.
- What is Independence Pediatric Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Independence Pediatric Dentistry LLC is (816) 461-3661.
- Who is the authorized official for Independence Pediatric Dentistry LLC?
- The authorized official listed on Independence Pediatric Dentistry LLC's NPPES record is Shayna Bahr, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Pediatric Dentistry LLC's NPI active?
- Yes — Independence Pediatric Dentistry LLC's NPI (1376058420) is active in the NPPES registry as of the last update on 2026-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.