Active NPI
Paul Charles Kearney, D.D.S.
- Dentist
- Fort Riley, KS
National Provider Identifier
1245589647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08949
- Practice address
- 228 Beeman Place
US Army Dental Activity
Fort Riley, KS 66442 - Phone
- (785) 239-7241
- NPI assigned
- Aug 31, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 08949 | IA | Primary |
Addresses
Primary practice location
228 Beeman Place
US Army Dental Activity
Fort Riley, KS 66442
Mailing address
228 Beeman Place
US Army Dental Activity
Fort Riley, KS 66442
Phone (785) 239-7241
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08949 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437177600000",
"number": "1245589647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 BEEMAN PLACE",
"address_2": "US ARMY DENTAL ACTIVITY",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "66442",
"telephone_number": "785-239-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 BEEMAN PLACE",
"address_2": "US ARMY DENTAL ACTIVITY",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "66442",
"telephone_number": "785-239-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "PAUL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-31",
"last_updated": "2015-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.