Organization Active NPI

Kansas Endodontics,LLC

Doing business as Lawrence Endodontics

  • Endodontics
  • Lawrence, KS
National Provider Identifier
1265443055
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6944 Issued in KS
Legal business name
KANSAS ENDODONTICS,LLC
Doing business as
Lawrence Endodontics
Practice address
4830 Quail Crest PL
Suite B
Lawrence, KS 66049-3838
Phone
(785) 843-8610
Fax
(785) 843-8611
NPI assigned
Aug 10, 2006
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Robert F GattiNPI 1982916482
Title
Member
Phone
(785) 843-8610

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 6944 KS Primary

Addresses

Primary practice location

4830 Quail Crest PL
Suite B
Lawrence, KS 66049-3838

Mailing address

4830 Quail Crest PL
Suite B
Lawrence, KS 66049-3838
Phone (785) 843-8610

Other names 1

  • Lawrence Endodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kansas Endodonticsllc2 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

4830 Quail Crest Pl
Ste B
Lawrence, KS 66049
Phone (785) 843-8610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1265443055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 QUAIL CREST PL",
            "address_2": "SUITE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493838",
            "telephone_number": "785-843-8610",
            "fax_number": "785-843-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 QUAIL CREST PL",
            "address_2": "SUITE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493838",
            "telephone_number": "785-843-8610",
            "fax_number": "785-843-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS ENDODONTICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "GATTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "785-843-8610"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "6944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.