Wycliff Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WYCLIFF FAMILY DENTISTRY

Practice address

10400 W 103Rd St Ste 21
Overland Park, KS 66214-2664

Phone

(913) 722-0610

Fax

(913) 722-2893

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Anne A Lane, DDSNPI 1053751214

Title

Owner

Phone

(913) 722-0610

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Atha Lane, D.D.S.

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1053751214
  NPD Authorized official
• Michael M Tanner, D.D.S.

  • Dentist
  • Overland Park, KS
  • NPI 1205814886
  NPD (past)

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1376320523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST STE 21",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142664",
            "telephone_number": "913-722-0610",
            "fax_number": "913-722-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST STE 21",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142664",
            "telephone_number": "913-722-0610",
            "fax_number": "913-722-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCLIFF FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-722-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Wright
• Wubbenhorst & Wubbenhotst, Inc.
• Sandra R Wuller, P.T.
• Kelly Amber Wuster, M.S., CCC-SLP
• Jerry L Wyckoff, PH.D.
• Wycliff Pharmacy Inc
• Kennette R. Wynn, P.T.
• Holly Xu
• Xiao Meng Xu, M.D.
• Ashley Yaeger

• Dental Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.