Active NPI
Paul Kolarik
- Dentist
- Lenexa, KS
National Provider Identifier
1265792154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60807
- Practice address
- 9226 Pflumm Rd
Lenexa, KS 66215-3346 - Phone
- (913) 888-6220
- NPI assigned
- May 24, 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 | 60807 | KS | Primary |
Addresses
Primary practice location
9226 Pflumm Rd
Lenexa, KS 66215-3346
Mailing address
9307 Ballentine St
Overland Park, KS 66214-1810
Phone (913) 710-4660
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 |
|---|---|---|---|
| 60807 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kolarik Dental, LLC | Dentist | Past | Accepting new patients |
| Michael Vandenberg, D.D.S., P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lenexa, KS
- NPI 1285023895
-
- Dental Clinic/Center
- Lenexa, KS
- NPI 1992821862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1265792154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9307 BALLENTINE ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141810",
"telephone_number": "913-710-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9226 PFLUMM RD",
"city": "LENEXA",
"state": "KS",
"postal_code": "662153346",
"telephone_number": "913-888-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLARIK",
"first_name": "PAUL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.