Shawnee Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60303 Issued in KS

Legal business name

SHAWNEE DENTAL

Practice address

13430 W 62ND Ter
Shawnee, KS 66216-1784

Phone

(913) 962-4400

Fax

(913) 962-1144

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Irwin N Boe Jr., D.D.S.,M.S.NPI 1922155696

Title

Dentist

Phone

(913) 962-4400

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Irwin Boe, D.D.S.

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1922155696
  Authorized official Same address or phone

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1306039987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 W 62ND TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161784",
            "telephone_number": "913-962-4400",
            "fax_number": "913-962-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 W 62ND TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161784",
            "telephone_number": "913-962-4400",
            "fax_number": "913-962-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "BOE",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "913-962-4400",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amira Shah
• Michael Shalinsky, FNP-C
• Claudia Shannon, MA CCC-S
• Pauline Shaver
• Shawnee Chiropractic Clinic, P.a.
• Shawnee Dental Group, PA (Shawnee Modern Dentistry)
• Shawnee Family Care PA
• Shawnee Family Care, PA
• Shawnee Gardens Healthcare and Rehabilitation Center, LLC (Shawnee Gardens Healthcare and Rehabilitation Center)
• Shawnee Health & Rehab LLC (The Cottages at Shawnee)

• General Practice Dentistry in Shawnee, KS
• Providers in Shawnee, 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 Aug 27, 2007; 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.