Healthcare Provider Details

I. General information

NPI: 1356533194
Provider Name (Legal Business Name): LEVELUP KIDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NE 83RD ST STE 2600
KANSAS CITY MO
64119-4466
US

IV. Provider business mailing address

3100 NE 83RD ST STE 2600
KANSAS CITY MO
64119-4466
US

V. Phone/Fax

Practice location:
  • Phone: 816-413-9009
  • Fax: 816-413-9009
Mailing address:
  • Phone: 816-413-9009
  • Fax: 816-817-0469

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 Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTY K MAY
Title or Position: EXECUTIVE DIRECTOR
Credential: M.P.A.
Phone: 816-413-9009