Organization Active NPI

Paul D. Mabe, DDS, Chartered

  • General Practice Dentistry
  • Gardner, KS
National Provider Identifier
1306057716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6651 Issued in KS
Legal business name
PAUL D. MABE, DDS, CHARTERED
Practice address
971 E. Lincoln LN.
Gardner, KS 66030
Phone
(913) 856-7123
Fax
(913) 856-7121
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul David Mabe, DDS
Title
President
Phone
(913) 856-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6651 KS Primary

Addresses

Primary practice location

971 E. Lincoln LN.
Gardner, KS 66030

Mailing address

971 E. Lincoln Lane
PO Box 38
Gardner, KS 66030
Phone (913) 856-7123

Other names 1

  • Gardner Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

971 E Lincoln Ln
Gardner, KS 66030
Phone (913) 856-7123

Practitioners & affiliated clinicians

Practitioners 2

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306057716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 E. LINCOLN LANE",
            "address_2": "PO BOX 38",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "66030",
            "telephone_number": "913-856-7123",
            "fax_number": "913-856-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 E. LINCOLN LN.",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "66030",
            "telephone_number": "913-856-7123",
            "fax_number": "913-856-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. MABE, DDS, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MABE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-856-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardner Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardner, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.