NPIMap

Organization Active NPI

Medicalodges, Inc.

Doing business as New Horizons Pittsburg

  • Dental Clinic/Center
  • Pittsburg, KS
National Provider Identifier
1306907969
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
N019005 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
New Horizons Pittsburg
Practice address
2702 N Joplin St
Pittsburg, KS 66762-2645
Phone
(620) 231-3910
Fax
(620) 231-3912
NPI assigned
Dec 13, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Cathy Fisher
Title
Chief Financial Officer
Phone
(620) 251-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X N019005 KS Primary

Addresses

Primary practice location

2702 N Joplin St
Pittsburg, KS 66762-2645

Mailing address

2702 N Joplin St
Pittsburg, KS 66762-2645
Phone (620) 231-3910

Other identifiers 1

IdentifierTypeStateIssuer
100026530KMedicaidKS

Other names 1

  • New Horizons Pittsburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1306907969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 N JOPLIN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622645",
            "telephone_number": "620-231-3910",
            "fax_number": "620-231-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 N JOPLIN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622645",
            "telephone_number": "620-231-3910",
            "fax_number": "620-231-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "N019005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026530K",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Pittsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.