Organization Active NPI

Kolarik Dental, LLC

  • Dentist
  • Lenexa, KS
National Provider Identifier
1285023895
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60807 Issued in KS
Legal business name
KOLARIK DENTAL, LLC
Practice address
9226 Pflumm Rd
Lenexa, KS 66215-3346
Phone
(913) 888-6220
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Paul KolarikNPI 1265792154
Title
Owner
Phone
(913) 888-6220

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60807 KS Primary

Addresses

Primary practice location

9226 Pflumm Rd
Lenexa, KS 66215-3346

Mailing address

9226 Pflumm Rd
Lenexa, KS 66215-3346

Other identifiers 1

IdentifierTypeStateIssuer
126572154OtherKSINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

9226 Pflumm Rd
Lenexa, KS 66215
Phone (913) 829-9222

Practitioners & affiliated clinicians

Practitioners 1

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": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1285023895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153346"
        },
        {
            "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": {
        "organization_name": "KOLARIK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "KOLARIK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-888-6220"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "126572154",
            "state": "KS"
        }
    ],
    "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 Jan 20, 2015; 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.