Active NPI
Kerry M. O'Neal, DDS
- Endodontics
- Topeka, KS
National Provider Identifier
1265440812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6533
- Practice address
- 2201 SW Westport Dr
#300
Topeka, KS 66614-1914 - Phone
- (785) 272-2243
- Fax
- (785) 272-2817
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6533 | KS | Primary |
Addresses
Primary practice location
2201 SW Westport Dr
#300
Topeka, KS 66614-1914
Mailing address
2201 SW Westport Dr
#300
Topeka, KS 66614-1914
Phone (785) 272-2243
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 |
|---|---|---|---|
| 6533 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265440812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 SW WESTPORT DR",
"address_2": "#300",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666141914",
"telephone_number": "785-272-2243",
"fax_number": "785-272-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 SW WESTPORT DR",
"address_2": "#300",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666141914",
"telephone_number": "785-272-2243",
"fax_number": "785-272-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "KERRY",
"middle_name": "M.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "6533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.