Northeast Kansas Community Action Program

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NORTHEAST KANSAS COMMUNITY ACTION PROGRAM

Practice address

1260 220TH Street
Hiawatha, KS 66434-0380

Phone

(785) 742-2222

Fax

(785) 742-2164

NPI assigned

Mar 15, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lu Hangley

Title

Executive Director

Phone

(785) 742-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEK-CAP, Inc. Other name

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1114051976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664340380",
            "telephone_number": "785-742-2222",
            "fax_number": "785-742-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 220TH STREET",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664340380",
            "telephone_number": "785-742-2222",
            "fax_number": "785-742-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST KANSAS COMMUNITY ACTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HANGLEY",
        "authorized_official_first_name": "LU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-742-2222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385380A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEK-CAP, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David John Nachtigal, PT/RCP
• Laurie Nachtigal, PTA
• Kylie Jane Nelson
• Kimberly Nolte, RPH
• Northeast Kansas Area Agency on Aging
• Northeast Kansas Multi-County Health Departments, Inc.
• Northeast Kansas Multi-County Health Departments, Inc.
• Northeast Kansas Multi-County Health Departments, Inc.
• Sarah Marie Olson, LSCSW
• Orthopedic & Sports Medicine Center, LLC

• Dentist in Hiawatha, KS
• Providers in Hiawatha, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.