Active NPI
Sadaf Imran, DDS
- Dentist
- Olathe, KS
National Provider Identifier
1295308930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61858
- Practice address
- 13536 S Alden St
Olathe, KS 66062-5840 - Phone
- (913) 355-2634
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61858 | KS | |
| Dentist | 122300000X | 61858 | KS | Primary |
Addresses
Primary practice location
13536 S Alden St
Olathe, KS 66062-5840
Mailing address
13536 S Alden St
Olathe, KS 66062-5840
Phone (913) 355-2634
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 |
|---|---|---|---|
| 61858 | KS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1295308930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13536 S ALDEN ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660625840",
"telephone_number": "913-355-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13536 S ALDEN ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660625840",
"telephone_number": "913-355-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMRAN",
"first_name": "SADAF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "61858",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.