Organization Active NPI

Peppes Dental Group P.a.

  • General Practice Dentistry
  • Leawood, KS
National Provider Identifier
1053526277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEPPES DENTAL GROUP P.A.
Practice address
11551 Granada LN
Suite 200
Leawood, KS 66211-1454
Phone
(913) 642-3939
Fax
(913) 642-3508
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory John Peppes, D.D.S.
Title
Owner
Phone
(913) 642-3939

Specialties & licenses 1

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

Addresses

Primary practice location

11551 Granada LN
Suite 200
Leawood, KS 66211-1454

Mailing address

11551 Granada LN
Suite 200
Leawood, KS 66211-1454
Phone (913) 642-3939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053526277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 GRANADA LN",
            "address_2": "SUITE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111454",
            "telephone_number": "913-642-3939",
            "fax_number": "913-642-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 GRANADA LN",
            "address_2": "SUITE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111454",
            "telephone_number": "913-642-3939",
            "fax_number": "913-642-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPES DENTAL GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEPPES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-642-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.