NPIMap

Organization Active NPI

Oak Park Village Dental LLC

  • Dental Clinic/Center
  • Lenexa, KS
National Provider Identifier
1316445281
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OAK PARK VILLAGE DENTAL LLC
Practice address
12148 W 95TH St
Lenexa, KS 66215-3805
Phone
(913) 492-9660
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Bryan Pace
Title
Business Manager
Phone
(801) 455-5896

Specialties & licenses 1

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

Addresses

Primary practice location

12148 W 95TH St
Lenexa, KS 66215-3805

Mailing address

12148 W 95TH St
Lenexa, KS 66215-3805

Other names 1

  • Oak Park Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12148 W 95th St
Lenexa, KS 66215
Phone (913) 492-9660

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1316445281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12148 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12148 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153805",
            "telephone_number": "913-492-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK VILLAGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "801-455-5896"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.