KC Complete Prosthodontics PA

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

61139 Issued in KS

Legal business name

KC COMPLETE PROSTHODONTICS PA

Practice address

11401 Nall Ave Ste 102
Leawood, KS 66211-1850

Phone

(913) 703-5599

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert Andrew Sparks, DMD

Title

Owner

Phone

(660) 216-2514

Specialties & licenses 1

Addresses

Other names 1

• KC Complete Prosthodontics Doing business as

Locations

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1306365754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 NALL AVE STE 102",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 NALL AVE STE 102",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111850",
            "telephone_number": "913-703-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COMPLETE PROSTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-216-2514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "KS",
            "license": "61139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC Complete Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Leawood, KS
• Prosthodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.