Kansas City Kansas Dental Professionals PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60337 Issued in KS

Legal business name

KANSAS CITY KANSAS DENTAL PROFESSIONALS PA

Practice address

753 State Ave
Kansas City, KS 66101-2516

Phone

(913) 321-4385

NPI assigned

Jul 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carol J Jones, DDS

Title

President

Phone

(913) 321-4385

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol J Jones-Crall, DDS

  • General Practice Dentistry
  • Kansas City, KS
  • NPI 1841288974
  NPD
• Stephanie Lynn Prusa, DENTAL HYGIENIST

  • Dental Hygienist
  • Kansas City, KS
  • NPI 1174837751
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1013146547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012516",
            "telephone_number": "913-321-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012516",
            "telephone_number": "913-321-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY KANSAS DENTAL PROFESSIONALS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-321-4385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "60337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841288974",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407988710",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kansas Anesthesia Team, LLC
• Kansas Cardiovascular Associates
• Kansas City Chiropractic, P.a.
• Kansas City Imaging Center, LLC
• Kansas City Kansas Dental Associates PA
• Kansas City Kansas Public Schools
• Kansas City Kansas Scope
• Kansas City Living, LLC
• Kansas City Spinal Care, Inc.
• Kansas City Transitional Care Center, LLC

• All providers in Kansas City, KS
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.