NPIMap

Organization Active NPI

Card Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Leavenworth, KS
National Provider Identifier
1225440696
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
60935 Issued in KS
Legal business name
CARD ORAL AND MAXILLOFACIAL SURGERY
Doing business as
Leavenworth Oral and Maxillofacial Surgery
Practice address
3550 S 4TH St
Suite 240
Leavenworth, KS 66048-5071
Phone
(913) 772-4334
Fax
(913) 772-0851
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Aaron Sterling Card, DMD, MDNPI 1225238868
Title
President
Phone
(913) 772-4334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 60935 KS Primary

Addresses

Primary practice location

3550 S 4TH St
Suite 240
Leavenworth, KS 66048-5071

Mailing address

3550 S 4TH St
Suite 240
Leavenworth, KS 66048-5071
Phone (913) 772-4334

Other names 1

  • Leavenworth Oral and Maxillofacial Surgery Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1225440696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST",
            "address_2": "SUITE 240",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485071",
            "telephone_number": "913-772-4334",
            "fax_number": "913-772-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST",
            "address_2": "SUITE 240",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485071",
            "telephone_number": "913-772-4334",
            "fax_number": "913-772-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARD ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "CARD",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-772-4334",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "60935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leavenworth Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.