Organization Active NPI

Great Plains Oral & Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Olathe, KS
National Provider Identifier
1144662602
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
60141 Issued in KS
Legal business name
GREAT PLAINS ORAL & MAXILLOFACIAL SURGERY, PA
Practice address
965 N Mur Len Rd
Olathe, KS 66062-1861
Phone
(913) 780-3100
Fax
(913) 780-3101
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Dr. Daniel Christopher Nielson, DDSNPI 1629016308
Title
President
Phone
(913) 780-3100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 60141 KS Primary

Addresses

Primary practice location

965 N Mur Len Rd
Olathe, KS 66062-1861

Mailing address

965 N Mur Len Rd
Olathe, KS 66062-1861
Phone (913) 780-3100

National Provider Directory

National Provider Directory

Locations

16093 W 135th St
Ste B
Olathe, KS 66062
Phone (913) 213-5641

965 N Mur Len Rd
Olathe, KS 66062
Phone (913) 706-0068

Practitioners & affiliated clinicians

Practitioners 2

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": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1144662602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 N MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621861",
            "telephone_number": "913-780-3100",
            "fax_number": "913-780-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 N MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621861",
            "telephone_number": "913-780-3100",
            "fax_number": "913-780-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS ORAL & MAXILLOFACIAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-780-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "60141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.