Fales Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5859 Issued in KS

Legal business name

FALES PEDIATRIC DENTISTRY

Practice address

13496 S Arapaho Dr
Olathe, KS 66062-1553

Phone

(913) 782-2207

Fax

(913) 489-0028

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Konnie C. Lutz

Title

Practice Administrator

Phone

(913) 782-2207

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• John Thomas Fales Jr., D.D.S., M.S.

  • Pediatric Dentistry
  • Olathe, KS
  • NPI 1477531903
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1235477688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13496 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621553",
            "telephone_number": "913-782-2207",
            "fax_number": "913-489-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13496 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621553",
            "telephone_number": "913-782-2207",
            "fax_number": "913-489-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "KONNIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "913-782-2207",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "5859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405694209",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222530C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Thompson Eyler, M.D.
• Tiyamike Ezala, NP
• Douglas W Fain, DDS.,MD
• Christopher Fairleigh, M.S. SLP
• Tyler Falck, LMLP
• John Thomas Fales Jr., D.D.S., M.S.
• Kevin Fall, PH.D.
• Famili LLC
• Family Centered Dentistry
• Family Concepts P a

• Pediatric Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.