Healthcare Provider Details

I. General information

NPI: 1538086483
Provider Name (Legal Business Name): BRIAN SCHOWENGERDT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 SW 3RD ST STE M
LEES SUMMIT MO
64063-2280
US

IV. Provider business mailing address

622 SW 3RD ST STE M
LEES SUMMIT MO
64063-2280
US

V. Phone/Fax

Practice location:
  • Phone: 816-524-3535
  • Fax: 816-524-3530
Mailing address:
  • Phone: 816-524-3535
  • Fax: 816-524-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SCHOWENGERDT
Title or Position: DENTIST
Credential: DDS
Phone: 816-524-3535