Active NPI
Christopher S Patton, D.D.S, P.A.
- General Practice Dentistry
- Phillipsburg, KS
National Provider Identifier
1104912047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6851
- Practice address
- 730 4TH St
Phillipsburg, KS 67661-1916 - Phone
- (785) 543-5123
- Fax
- (785) 543-2803
- NPI assigned
- Oct 5, 2006
- Last updated
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6851 | KS | Primary |
Addresses
Primary practice location
730 4TH St
Phillipsburg, KS 67661-1916
Mailing address
730 4TH St
Phillipsburg, KS 67661-1916
Phone (785) 543-5123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100225640B | Medicaid | KS | |
| 19087 | Other | KS | BLUE CROSS BLUE SHIELD-KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150608001068 | KS | Order and Referring Only - Dentist | 0042531683 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher S. Patton, D.D.S., P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Phillipsburg, KS
- NPI 1568885531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1104912047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 4TH ST",
"city": "PHILLIPSBURG",
"state": "KS",
"postal_code": "676611916",
"telephone_number": "785-543-5123",
"fax_number": "785-543-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 4TH ST",
"city": "PHILLIPSBURG",
"state": "KS",
"postal_code": "676611916",
"telephone_number": "785-543-5123",
"fax_number": "785-543-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "CHRISTOPHER",
"middle_name": "S",
"credential": "D.D.S, P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100225640B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD-KS",
"identifier": "19087",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.