Kids Dentist of Lawrence

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KIDS DENTIST OF LAWRENCE

Practice address

1425 Wakarusa Dr Ste D
Lawrence, KS 66049-4287

Phone

(785) 691-5223

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Kelli Henderson, DDO

Title

Member

Phone

(785) 691-5223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1386167658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 6TH ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WAKARUSA DR STE D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494287",
            "telephone_number": "785-691-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTIST OF LAWRENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "785-691-5223",
        "authorized_official_credential": "DDO"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Christina Khatib, LAC,LBSW
• Jason Ramadan Khomsi, T-LMSW
• Farhang R. Khosh, ND
• Mehdi L Khosh, ND
• Jason S Kidd, CRNA
• Kieffer Associates Inc.
• Colbi Kilburn
• Nicole Leigh Kile, DPT
• Esther Kim
• James W. Kim, MD

• Dental Clinic/Center in Lawrence, KS
• Providers in Lawrence, 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 Jul 19, 2017; 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.