Ellen Frances Berry, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

60532 Issued in KS

Practice address

407 S Clairborne Rd
Suite 104
Olathe, KS 66062-1857

Phone

(855) 886-6938

Fax

(913) 393-9934

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ellen Frances Okoniewski Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1124013867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S CLAIRBORNE RD",
            "address_2": "SUITE 104",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621857",
            "telephone_number": "855-886-6938",
            "fax_number": "913-393-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S CLAIRBORNE RD",
            "address_2": "SUITE 104",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621857",
            "telephone_number": "855-886-6938",
            "fax_number": "913-393-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ELLEN",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025884",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "KS",
            "license": "60532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "OKONIEWSKI",
            "middle_name": "FRANCES",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Berger, LPC
• Katrina Ann Bernard, PA-C
• Michelle Darleen Bernart
• Gary Dean Bernhardt, M.D.
• James P. Berrigan, MD
• Lori D Berwald, OD
• Stephanie Bessery-Nichols, DPT
• Lauren Janelle Bessey, DO
• Jon Gregory Bevan, D.D.S.
• Meskerem Beyene

• Public Health Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• Public Health Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.

Verify at the official NPI Registry.