NPIMap

Organization Active NPI

Oral Surgery Kansas, LC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lawrence, KS
National Provider Identifier
1144304643
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6641 Issued in KS
Legal business name
ORAL SURGERY KANSAS, LC
Practice address
308 Maine St
Lawrence, KS 66044
Phone
(785) 843-5490
Fax
(785) 843-5378
NPI assigned
Oct 24, 2006
Organization subpart
Yes
Parent organization
ORAL SURGERY KANSAS, LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Brendan T. Farrell, DDSNPI 1033311733
Title
Oral Surgeon
Phone
(785) 843-5490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 6641 KS Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 6112 KS
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 60789 KS
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X

Addresses

Primary practice location

308 Maine St
Lawrence, KS 66044

Mailing address

308 Maine St
Lawrence, KS 66044
Phone (785) 843-5490

Other names 1

  • Emporia Oral Surgery, Ottawa Oral Surgery, Lawrence Oral Doing business as

National Provider Directory

National Provider Directory
Part of
Oral Surgery Kansas LC

Locations

2510 W 15th Ave
Emporia, KS 66801
Phone (316) 342-5930

3821 W 6th St
Lawrence, KS 66049
Phone (785) 843-5490

308 Maine St
Lawrence, KS 66044
Phone (785) 843-5490

2004 Clock Tower Pl
Ste 130
Manhattan, KS 66503
Phone (785) 320-5476

2201 SW Westport Dr
Ste 200
Topeka, KS 66614
Phone (785) 273-4300

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1144304643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-843-5490",
            "fax_number": "785-843-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-843-5490",
            "fax_number": "785-843-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY KANSAS, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORAL SURGERY KANSAS, LC",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "785-843-5490",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "6641",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "6112",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "60789",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emporia Oral Surgery, Ottawa Oral Surgery, Lawrence Oral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.