Cental Kansas Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6652 Issued in KS

Legal business name

CENTAL KANSAS DENTISTRY, PA

Practice address

202 N Douglas Ave
Ellsworth, KS 67439-3216

Phone

(785) 472-3803

Fax

(785) 472-3620

NPI assigned

May 5, 2006

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kurt Allen Williams, DDSNPI 1821047614

Title

Owner

Phone

(785) 472-3803

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kurt Allen Williams, DDS

  • General Practice Dentistry
  • Ellsworth, KS
  • NPI 1821047614
  NPD (past) Authorized official
• Mychel Toni Dolezal, R.D.H.

  • Dental Hygienist
  • Ellsworth, KS
  • NPI 1407093958
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1285682773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N DOUGLAS AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674393216",
            "telephone_number": "785-472-3803",
            "fax_number": "785-472-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DOUGLAS AVE",
            "city": "ELLSWORTH",
            "state": "KS",
            "postal_code": "674393216",
            "telephone_number": "785-472-3803",
            "fax_number": "785-472-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTAL KANSAS DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-472-3803",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19253",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Rose Bebermeyer, PA-C
• Rebecca M Beus, LSCSW
• Michelle L Brokes, P.A.-C
• Les A. Burton
• Eastin Casey
• Teasha Lee Choitz, C.O.T.A.
• Cornerstone Therapy
• Counseling Inc
• County of Ellsworth
• County of Ellsworth (Ellsworth County Health Department)

• General Practice Dentistry in Ellsworth, KS
• Providers in Ellsworth, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.