Carriage Family Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CARRIAGE FAMILY DENTAL, PA

Practice address

726 Shawnee St
Leavenworth, KS 66048-1804

Phone

(913) 682-2595

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Lizzie Young

Title

Credentialing MGR

Phone

(405) 233-8873

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Andrew Otto, DMD

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1477122786
  NPD
• Melanie M Beck, DDS

  • Dentist
  • Shawnee, KS
  • NPI 1437563764
  NPD (past)
• Michael Conrad Journee, D.D.S.

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1689892580
  NPD (past)

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1053995613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481804",
            "telephone_number": "913-682-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481804",
            "telephone_number": "913-682-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIAGE FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LIZZIE",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "405-233-8873"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care for Women, LLC
• Caritas Clinics Inc
• Caritas Clinics Inc
• Joyce Marie Carnoali, EN
• Janis Irene Carpenter, RN, MSN
• Meghan Danelle Carroll, PA-C
• Eric Spencer Carter, PTA
• Patricia Carter, RBT
• Kendell L Casey, LMSW
• Tina M Cassella, ARNP

• General Practice Dentistry in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.