Individual provider Active NPI

Kelly Thomas, DDS

  • Dentist
  • Leawood, KS
National Provider Identifier
1245332436
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60505 Issued in KS
Practice address
4861 W 134TH St
Leawood, KS 66209-7803
Phone
(913) 685-1900
Fax
(913) 685-2002
NPI assigned
Sep 1, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60505 KS Primary

Addresses

Primary practice location

4861 W 134TH St
Leawood, KS 66209-7803

Mailing address

4861 W 134TH St
Leawood, KS 66209-7803
Phone (913) 685-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60505KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jungmeyer & Suresh Dental Enterprises LLC Dentist Past Accepting new patients
Sheila R Jungmeyer DDS,PC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1245332436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 W 134TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662097803",
            "telephone_number": "913-685-1900",
            "fax_number": "913-685-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 W 134TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662097803",
            "telephone_number": "913-685-1900",
            "fax_number": "913-685-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELLY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.