Connor Bahr
Individual provider Active NPI Dentist · Olathe, KS
NPI 1164084141 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1164084141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 61638 (KS)
- Practice address
- 11150 S Pflumm Rd
Olathe, KS 66215-4810 - Phone
- (816) 808-9374
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61638 | KS | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61638 | KS | Yes |
Addresses
Primary practice location
11150 S Pflumm Rd
Olathe, KS 66215-4810
Mailing address
11150 S Pflumm Rd
Olathe, KS 66215-4810
Phone (816) 808-9374
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.