Individual provider Active NPI

Joshua L Kiene

  • General Practice Dentistry
  • Shawnee Mission, KS
National Provider Identifier
1215452552
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61428 Issued in KS
Practice address
11005 W 60TH St. #240
Shawnee Mission, KS 66203
Phone
(913) 631-5622
NPI assigned
Aug 8, 2017
Last updated
Aug 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
61428KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kiene Piper LLC General Practice CurrentSince Jun 5, 2022 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.

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

Verify at the official NPI Registry.