Olathe South Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OLATHE SOUTH DENTISTRY, PA

Practice address

16587 W 151St St
Olathe, KS 66062

Phone

(913) 286-4548

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Theresa Rawalt, DDS

Title

Owner

Phone

(913) 286-4548

Specialties & licenses 1

Addresses

Other names 1

• Olathe South Dentistry Doing business as

Locations

Practitioners 3

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

• Rashin Alipour-Tricamo, DDS

  • Dentist
  • Olathe, KS
  • NPI 1447812441
  NPD (past)
• Arianna Jackson, DDS

  • Dentist
  • Kansas City, KS
  • NPI 1932760303
  NPD (past)
• Chao Chen, DMD

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1134809692
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1245710193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16587 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-286-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLATHE SOUTH DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "RAWALT",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-286-4548",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olathe South Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Olathe Pediatric Dental, P.a.
• Olathe Physical Therapy & Hand Rehab
• Olathe Usd 233
• Olathe West Dentistry, PA
• Olathe Wound and Hyperbaric Associates LLC
• Matthew Joseph Oleksy, DPT
• Elizabeth Ann Oles

• Dentist in Olathe, KS
• Providers in Olathe, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.