Periodontal Care West LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTAL CARE WEST LLC

Practice address

975 N Mur Len Rd Ste a
Olathe, KS 66062-1803

Phone

(913) 415-2000

Fax

(913) 415-2004

NPI assigned

May 24, 2023

Last updated

May 24, 2023By 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

Ashley Johnson

Title

Director of Operations

Phone

(913) 379-9498

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Amon Eugene Holt III, D.D.S.

  • Periodontics
  • Olathe, KS
  • NPI 1972853562
  NPD
• Garrett Allen Finney, DMD, MSD

  • Periodontics
  • Lee's Summit, MO
  • NPI 1831822584
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1174215594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N MUR LEN RD STE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621803",
            "telephone_number": "913-415-2000",
            "fax_number": "913-415-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N MUR LEN RD STE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621803",
            "telephone_number": "913-415-2000",
            "fax_number": "913-415-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL CARE WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "913-379-9498"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Diane Pepper
• Patricia E Pepple, T-LMSW
• Miguel Perez, APRN
• Performance Chiropractic
• Katelyn Marie Pericola, FNP-C
• Nanette Lea Perrin, M.A., B.C.B.A
• Alisha Anjuli Persaud, LPC
• Ziyan Yuan Pessetto, PHD, HCLD (ABB)
• Crystal Peters, APRN - FNP
• Jeffrey M Peters, LMSW

• Periodontics in Olathe, KS
• Providers in Olathe, KS by specialty
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.