Organization Active NPI

Bruce D Cole DDS PA

  • General Practice Dentistry
  • Overbrook, KS
National Provider Identifier
1114930617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5173 Issued in KS
Legal business name
BRUCE D COLE DDS PA
Practice address
306 Maple
Overbrook, KS 66524-0229
Phone
(785) 665-7311
Fax
(785) 665-7311
NPI assigned
Aug 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Shirley Eileen Cole
Title
Office Manager
Phone
(785) 665-7311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5173 KS Primary

Addresses

Primary practice location

306 Maple
Overbrook, KS 66524-0229

Mailing address

PO Box 229
Overbrook, KS 66524-0229
Phone (785) 665-7311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114930617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "OVERBROOK",
            "state": "KS",
            "postal_code": "665240229",
            "telephone_number": "785-665-7311",
            "fax_number": "785-665-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAPLE",
            "city": "OVERBROOK",
            "state": "KS",
            "postal_code": "665240229",
            "telephone_number": "785-665-7311",
            "fax_number": "785-665-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D COLE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-665-7311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overbrook, 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.