Michael J Dostal DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60656 Issued in KS

Legal business name

MICHAEL J DOSTAL DDS, LLC

Practice address

5408 Roberts St
Shawnee, KS 66226-3937

Phone

(785) 550-2682

NPI assigned

Apr 8, 2011

Last updated

Apr 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dostal, DDSNPI 1689908634

Title

Sole Member

Phone

(785) 550-2682

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Dostal, DDS

  • Dentist
  • Shawnee, KS
  • NPI 1689908634
  NPD (past) Authorized official

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1164712485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 ROBERTS ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 ROBERTS ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263937",
            "telephone_number": "785-550-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J DOSTAL DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "DOSTAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "785-550-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200698320A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamille G Merz, M.D.
• Margaret Quinn Mesmer
• Emily Meyer, DDS
• Kyle Meyer, PHARM.D.
• Pamela Meyer
• Michaels Mission, LLC
• Nicholas Joseph Michalski, M.D.
• Mid-America Physicians, CHTD. (DeSoto Family Practice)
• Midwest Divison - Oprmc, LLC (Emergency Room of Shawnee, a department of Overland Park Regional Medical Center)
• Midwest Radiology Institute, PA

• General Practice Dentistry in Shawnee, KS
• Providers in Shawnee, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.