Organization Active NPI

Nevin K Waters DDS PA

  • General Practice Dentistry
  • Olathe, KS
National Provider Identifier
1164550109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5199 Issued in KS
Legal business name
NEVIN K WATERS DDS PA
Practice address
751 N Mur Len Rd
Olathe, KS 66062-5401
Phone
(913) 782-1330
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nevin Kent Waters, D.D.S.
Title
President
Phone
(913) 782-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5199 KS Primary

Addresses

Primary practice location

751 N Mur Len Rd
Olathe, KS 66062-5401

Mailing address

751 N Mur Len Rd
Olathe, KS 66062-5401
Phone (913) 782-1330

National Provider Directory

National Provider Directory

Locations

751 N Mur Len Rd
Olathe, KS 66062
Phone (913) 764-2020

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164550109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 N MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625401",
            "telephone_number": "913-782-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625401",
            "telephone_number": "913-782-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVIN K WATERS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "NEVIN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-782-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5199",
            "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 Aug 22, 2020; 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.