Organization Active NPI

Wheat State Dental of Bonner Springs LLC

  • General Practice Dentistry
  • Bonner Springs, KS
National Provider Identifier
1023913803
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WHEAT STATE DENTAL OF BONNER SPRINGS LLC
Practice address
172 Allcutt Ave
Bonner Springs, KS 66012
Phone
(913) 422-3011
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WHEAT STATE DENTAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Dr. Paul Rosel, DDS
Title
Owner/Member
Phone
(913) 687-5353

Specialties & licenses 1

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

Addresses

Primary practice location

172 Allcutt Ave
Bonner Springs, KS 66012

Mailing address

11150 S. Pflumm Rd
Lenexa, KS 66215
Phone (913) 687-5353

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1023913803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 S. PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-687-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 ALLCUTT AVE",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "66012",
            "telephone_number": "913-422-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT STATE DENTAL OF BONNER SPRINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHEAT STATE DENTAL, LLC",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "ROSEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "913-687-5353",
        "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": []
}

Other providers in Bonner Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.