Active NPI
Nicholas Polczynski
- Dentist
- Kansas City, KS
National Provider Identifier
1134360472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2009014145
- Practice address
- 13003 Everett CT
Kansas City, KS 66109-5311 - Phone
- (913) 683-9941
- NPI assigned
- Mar 17, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2009014145 | MO | Primary |
Addresses
Primary practice location
13003 Everett CT
Kansas City, KS 66109-5311
Mailing address
13003 Everett CT
Kansas City, KS 66109-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009014145 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1134360472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13003 EVERETT CT",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661095311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13003 EVERETT CT",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661095311",
"telephone_number": "913-683-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLCZYNSKI",
"first_name": "NICHOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-17",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2009014145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.