Prairie Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

5951 Issued in KS

Legal business name

PRAIRIE DENTAL ASSOCIATES

Practice address

1701 Williams
Great Bend, KS 67530-2542

Phone

(620) 792-1941

Fax

(620) 792-2766

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dee Jo Holman, DDS

Title

Dentist Owner Sec-Treasurer

Phone

(620) 792-1941

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Allan Ohnmacht, D.D.S.

  • Dentist
  • Great Bend, KS
  • NPI 1992968184
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174533210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WILLIAMS",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302542",
            "telephone_number": "620-792-1941",
            "fax_number": "620-792-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WILLIAMS",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302542",
            "telephone_number": "620-792-1941",
            "fax_number": "620-792-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DENTIST OWNER SEC-TREASURER",
        "authorized_official_telephone_number": "620-792-1941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "5951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Le Ann M Petersilie, LSCSW
• Gordon F Pfannenstiel, LPC
• Vivian J Pfister, LSCSW
• Jonathan Pike, M.D.
• Jessica A Poe, PTA
• Chad T Premer, O.D.
• Premier OB-GYN LLC
• Jessica Shea Pries, MD
• Jean Pringle, M.D.
• Sherry K Pruter, LPC

• Dentist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Dentist in Kansas

• 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.