Active NPI
Joshua L Kiene
- General Practice Dentistry
- Shawnee Mission, KS
National Provider Identifier
1215452552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61428
- Practice address
- 11005 W 60TH St. #240
Shawnee Mission, KS 66203 - Phone
- (913) 631-5622
- NPI assigned
- Aug 8, 2017
- Last updated
- Aug 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61428 | KS | Primary |
Addresses
Primary practice location
11005 W 60TH St. #240
Shawnee Mission, KS 66203
Mailing address
11005 W. 60TH St #240
Shawnee Mission, KS 66203
Phone (913) 631-5622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 19, 2022 through Jul 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61428 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiene Piper LLC | General Practice | Current | Accepting new patients |
| Kiene Dental Group (Kiene Generations) | General Practice | Current | Accepting new patients |
| Kiene Dental Group LLC | General Practice | Past | Accepting new patients |
| Olathe Family Dentistry, P.a. | General Practice | Past | Accepting new patients |
Locations
450 S Parker St
Olathe, KS 66061
Phone (913) 829-1438
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kiene Dental Group
- General Practice Dentistry
- Shawnee, KS
- NPI 1780321976
-
- General Practice Dentistry
- Shawnee, KS
- NPI 1851482756
-
- General Practice Dentistry
- Olathe, KS
- NPI 1881726107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1215452552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11005 W. 60TH ST #240",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "66203",
"telephone_number": "913-631-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11005 W 60TH ST. #240",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "66203",
"telephone_number": "913-631-5622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIENE",
"first_name": "JOSHUA",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "61428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.