Healthcare Provider Details

I. General information

NPI: 1861994469
Provider Name (Legal Business Name): RSS RACHELLE BROWN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11920 COLLEGE BLVD
OVERLAND PARK KS
66210-3943
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 Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE SUZANNE BROWN
Title or Position: OWNER
Credential: DDS
Phone: 913-400-2150