NPIMap

Organization Active NPI

Anthony Marengo Jr. DDS, PA

Doing business as Esthetic Enhancement LLC

  • Dental Clinic/Center
  • Olathe, KS
National Provider Identifier
1306237482
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6310 Issued in KS
Legal business name
ANTHONY MARENGO JR. DDS, PA
Doing business as
Esthetic Enhancement LLC
Practice address
16103 W 135TH St
Olathe, KS 66062-1516
Phone
(913) 829-9222
NPI assigned
Feb 11, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dave Schloss
Title
Chief Operating Officer
Phone
(913) 829-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6310 KS Primary

Addresses

Primary practice location

16103 W 135TH St
Olathe, KS 66062-1516

Mailing address

16103 W 135TH St
Olathe, KS 66062-1516
Phone (913) 829-9222

Other names 1

  • Esthetic Enhancement LLC Doing business as

National Provider Directory

National Provider Directory

Locations

16103 W 135th St
Olathe, KS 66062
Phone (913) 829-9222

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1306237482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16103 W 135TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621516",
            "telephone_number": "913-829-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16103 W 135TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621516",
            "telephone_number": "913-829-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY MARENGO JR. DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SCHLOSS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "913-829-9222"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esthetic Enhancement LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 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.