Organization Active NPI

The Endodontic P.C.

  • Endodontics
  • Overland Park, KS
National Provider Identifier
1154484301
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
KS4769 Issued in KS
Legal business name
THE ENDODONTIC P.C.
Practice address
5600 West 95TH St #216
Overland Park, KS 66207
Phone
(913) 383-2021
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Charles O Leffler Jr., DDS
Title
President
Phone
(913) 383-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X KS4769 KS Primary

Addresses

Primary practice location

5600 West 95TH St #216
Overland Park, KS 66207

Mailing address

5600 West 95TH St #216
Overland Park, KS 66207
Phone (913) 383-2021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1154484301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WEST 95TH ST #216",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66207",
            "telephone_number": "913-383-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 WEST 95TH ST #216",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66207",
            "telephone_number": "913-383-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDODONTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "LEFFLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-383-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "KS4769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.