NPIMap

Organization Active NPI

Karl a Breuckmann DDS & Kami L Ross DDS PA

  • General Practice Dentistry
  • Olathe, KS
National Provider Identifier
1023217312
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KARL A BREUCKMANN DDS & KAMI L ROSS DDS PA
Practice address
15095 W 123Rd St
Olathe, KS 66062-6964
Phone
(913) 782-6533
Fax
(913) 782-6653
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. Karl Alan Breuckmann, DDSNPI 1972691665
Title
President
Phone
(913) 782-6533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15095 W 123Rd St
Olathe, KS 66062-6964

Mailing address

15095 W 123Rd St
Olathe, KS 66062-6964
Phone (913) 782-6533

Other names 1

  • Breuckmann & Ross, DDS, PA Doing business as

National Provider Directory

National Provider Directory

Locations

15095 W 123rd St
Olathe, KS 66062
Phone (913) 782-6533

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1023217312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 W 123RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626964",
            "telephone_number": "913-782-6533",
            "fax_number": "913-782-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 W 123RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626964",
            "telephone_number": "913-782-6533",
            "fax_number": "913-782-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL A BREUCKMANN DDS & KAMI L ROSS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BREUCKMANN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-782-6533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breuckmann & Ross, DDS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.