Kenneth Joseph Frick, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D4774 Issued in AZ

Practice address

11201 Nall Ave
Suite 130
Leawood, KS 66211-1926

Phone

(913) 491-0056

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul a Jones DDS PC

  dba University Park Endodontics

  • Dentist
  • Leawood, KS
  • NPI 1164622049
  NPD (past)
• Pinnacle Peak Endodontics PLLC

  • Endodontics
  • Scottsdale, AZ
  • NPI 1265572036
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1043218423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 E PINNACLE PEAK RD",
            "address_2": "SUITE #A100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553406",
            "telephone_number": "480-585-2824",
            "fax_number": "480-585-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 NALL AVE",
            "address_2": "SUITE 130",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111926",
            "telephone_number": "913-491-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D4774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot Specialists of Kansas City, PA (Comprehensive Foot and Ankle Centers)
• Emily Kathryn Fox
• Brian Matthew Frank, PT
• Laura Franken, MOTR/L
• Emily Fravel, RD
• Heather Friday, FNP-C
• Sharon Friedman
• Ashley Frierdich
• Holly Fritch, M.D.
• Katelyn Kellie Frits, MS, LPC

• Endodontics in Leawood, KS
• Providers in Leawood, KS by specialty
• Endodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.