Kenneth Scott Nelkin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5632 Issued in KS

Practice address

11100 Ash St
Suite 204
Leawood, KS 66211-1925

Phone

(913) 469-6880

NPI assigned

Jul 9, 2009

Last updated

Jan 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1326277591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 ASH ST",
            "address_2": "SUITE 204",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111925",
            "telephone_number": "913-469-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 ASH ST",
            "address_2": "SUITE 204",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111925",
            "telephone_number": "913-469-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELKIN",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edward A Nelson, DDS
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• Mary Elizabeth Nestor, OTD, OTR/L

• General Practice Dentistry in Leawood, KS
• Providers in Leawood, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.