Healthcare Provider Details

I. General information

NPI: 1023334315
Provider Name (Legal Business Name): RACHELLE SUZANNE BROWN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13021 W 95TH ST STE B
LENEXA KS
66215-3700
US

IV. Provider business mailing address

13021 W 95TH ST STE B
LENEXA KS
66215-3700
US

V. Phone/Fax

Practice location:
  • Phone: 913-400-2150
  • Fax: 913-210-5661
Mailing address:
  • Phone: 913-400-2150
  • Fax: 913-210-5661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number60787
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: