NPIMap

Organization Active NPI

M. Conrad Journee, DDS, LLC

  • General Practice Dentistry
  • Leavenworth, KS
National Provider Identifier
1245645548
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60842 Issued in KS
Legal business name
M. CONRAD JOURNEE, DDS, LLC
Doing business as
Carriage Family Dental
Practice address
726 Shawnee St
Leavenworth, KS 66048-1804
Phone
(913) 682-2595
Fax
(913) 682-2595
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. Michael Conrad Journee, DDSNPI 1689892580
Title
Owner
Phone
(913) 682-2595

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 60997 KS
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 60842 KS Primary

Addresses

Primary practice location

726 Shawnee St
Leavenworth, KS 66048-1804

Mailing address

726 Shawnee St
Leavenworth, KS 66048-1804
Phone (913) 682-2595

Other names 1

  • Carriage Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dental of Leavenworth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

726 Shawnee St
Leavenworth, KS 66048
Phone (816) 808-1795

Practitioners & affiliated clinicians

Practitioners 3

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": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1245645548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481804",
            "telephone_number": "913-682-2595",
            "fax_number": "913-682-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481804",
            "telephone_number": "913-682-2595",
            "fax_number": "913-682-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. CONRAD JOURNEE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "JOURNEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-682-2595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60997",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Family Dental",
            "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 Jun 25, 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.