Michael Silva

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61375 Issued in KS

Practice address

13772 S Blackbob Rd
Olathe, KS 66062-1932

Phone

(913) 469-8019

NPI assigned

Jun 14, 2018

Last updated

Jun 14, 2018By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Serenity Dental

  • Dental Clinic/Center
  • Olathe, KS
  • NPI 1659974855
  NPD Authorized official
• Douglas J. Sjogren, D.D.S., P.a.

  • General Practice Dentistry
  • Olathe, KS
  • NPI 1992956486
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1063906907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621932",
            "telephone_number": "913-469-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621932",
            "telephone_number": "913-469-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DOUGLAS J SJOGREN",
            "identifier": "1992956486",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHOW YOUR GRIN DENTAL",
            "identifier": "1992956486",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Shull, APRN, FNP-BC
• Lillian Siebert, LPC-T
• Mark S. Siegmund, LPC, LCPC
• Signature Medical Group of KC, PA
• Adetunji Alabi Sijuwade, DDS
• Carol A Silvernail
• Nichole C Simmons, PLPC
• Susan Diane Simmons, ARNP, PHD
• Deborah D. Simon, LCPC
• Yvette Simpson

• General Practice Dentistry in Olathe, KS
• Providers in Olathe, 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 Jun 14, 2018; 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.