NPIMap

Organization Active NPI

Tonganoxie Family Dentistry

Doing business as McLouth Family Dental

  • General Practice Dentistry
  • McLouth, KS
National Provider Identifier
1174035596
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60803 Issued in KS
Legal business name
TONGANOXIE FAMILY DENTISTRY
Doing business as
McLouth Family Dental
Practice address
609 East Lake Street
McLouth, KS 66054
Phone
(913) 796-6113
Fax
(913) 796-6098
NPI assigned
Oct 25, 2017
Last updated
Oct 25, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TONGANOXIE FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
David H Jaeger, DDSNPI 1811128200
Title
Owner
Phone
(816) 813-7917

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60803 KS Primary

Addresses

Primary practice location

609 East Lake Street
McLouth, KS 66054

Mailing address

PO Box 343
Tonganoxie, KS 66086
Phone (913) 417-7333

Other names 1

  • McLouth Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tonganoxie Family Dentistry3 organizations share this tax ID, including this one
Part of
Tonganoxie Family Dentistry

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1174035596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "66086",
            "telephone_number": "913-417-7333",
            "fax_number": "913-417-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 EAST LAKE STREET",
            "city": "MCLOUTH",
            "state": "KS",
            "postal_code": "66054",
            "telephone_number": "913-796-6113",
            "fax_number": "913-796-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGANOXIE FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TONGANOXIE FAMILY DENTISTRY",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-813-7917",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLouth Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McLouth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.