NPIMap

Organization Active NPI

McKnight & Oliver Periodontics

  • Periodontics
  • Prairie Village, KS
National Provider Identifier
1063573483
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5907 Issued in KS
Legal business name
MCKNIGHT & OLIVER PERIODONTICS
Practice address
2200 W 75TH Street
Prairie Village, KS 66208
Phone
(913) 649-4978
Fax
(913) 649-0926
NPI assigned
Dec 12, 2006
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. N Randolph Oliver, DDS
Title
Periodontist
Phone
(913) 649-4978

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 5907 KS Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 7083 KS

Addresses

Primary practice location

2200 W 75TH Street
Prairie Village, KS 66208

Mailing address

2200 W 75TH Street
Prairie Village, KS 66208
Phone (913) 649-4978

Other names 1

  • Sidney A McKnight Jr DDS CHTD Former legal business name

National Provider Directory

National Provider Directory

Locations

2200 W 75th St
Prairie Village, KS 66208
Phone (913) 649-4978

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063573483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W 75TH STREET",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-649-4978",
            "fax_number": "913-649-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 75TH STREET",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-649-4978",
            "fax_number": "913-649-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKNIGHT & OLIVER PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "913-649-4978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "5907",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "7083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney A McKnight Jr DDS CHTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prairie Village, 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.