KJW Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KJW DENTAL, LLC

Doing business as

Spring Hill Smiles Family & Cosmetic Dentistry

Practice address

22450 S Harrison St Ste 102
Spring Hill, KS 66083-8882

Phone

(402) 380-0461

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katie J Walker, DDSNPI 1477083046

Title

Dentist

Phone

(402) 380-0461

Specialties & licenses 1

Addresses

Other names 1

• Spring Hill Smiles Family & Cosmetic Dentistry Doing business as

Locations

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.

• Katie Jo Walker

  • General Practice Dentistry
  • Spring Hill, KS
  • NPI 1477083046
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1326878729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17208 PARKHILL ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212560",
            "telephone_number": "479-263-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22450 S HARRISON ST STE 102",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660838882",
            "telephone_number": "402-380-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJW DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-380-0461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Hill Smiles Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greggory A Hudson
• Jerad Widman (Spring Hill Family Medicine)
• Jennifer L Johnson, RN, BSN, CCM
• Kansas Wound Therapy, LLC
• Emily Marie Keller
• Lindsey Kreikemeier
• Laura Langham, CD
• Anthony Robert Line, D.D.S.
• Emily Irene Logan, PTA
• Erika Rachel Lundstrom, LMSW

• General Practice Dentistry in Spring Hill, KS
• Providers in Spring Hill, 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 Aug 1, 2024; 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.