NPIMap

Organization Active NPI

Mid Kansas Dental, LLC

  • General Practice Dentistry
  • McPherson, KS
National Provider Identifier
1194276238
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KS60689 Issued in KS
Legal business name
MID KANSAS DENTAL, LLC
Practice address
801 N Maple St
McPherson, KS 67460-3103
Phone
(620) 241-6512
Fax
(620) 241-8568
NPI assigned
Oct 24, 2016
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Mrs. Leslee Miller
Title
Office Manager
Phone
(620) 241-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X KS60689 KS Primary

Addresses

Primary practice location

801 N Maple St
McPherson, KS 67460-3103

Mailing address

801 N Maple St
McPherson, KS 67460-3103
Phone (620) 241-6512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1194276238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MAPLE ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674603103",
            "telephone_number": "620-241-6512",
            "fax_number": "620-241-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAPLE ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674603103",
            "telephone_number": "620-241-6512",
            "fax_number": "620-241-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID KANSAS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-241-6512",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS60689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.