Active NPI
Gary Lee Ace, DDS
- General Practice Dentistry
- Emporia, KS
National Provider Identifier
1316988207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4735
- Practice address
- 1505 W 12TH Ave
Emporia, KS 66801-2457 - Phone
- (620) 342-9555
- Fax
- (620) 343-0018
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4735 | KS | Primary |
Addresses
Primary practice location
1505 W 12TH Ave
Emporia, KS 66801-2457
Mailing address
1505 W 12TH Ave
Emporia, KS 66801-2457
Phone (620) 342-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7914 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4735 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316988207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012457",
"telephone_number": "620-342-9555",
"fax_number": "620-343-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012457",
"telephone_number": "620-342-9555",
"fax_number": "620-343-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACE",
"first_name": "GARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "4735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7914",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.