NPIMap

Organization Active NPI

West Central Kansas Association, Inc.

Doing business as Russell Dental Care

  • Dentist
  • Russell, KS
National Provider Identifier
1386490738
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST CENTRAL KANSAS ASSOCIATION, INC.
Doing business as
Russell Dental Care
Practice address
300 N Main St
Russell, KS 67665-2731
Phone
(785) 483-3131
NPI assigned
Apr 26, 2024
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST CENTRAL KANSAS ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
David Caudill
Title
Ceo
Phone
(785) 483-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

300 N Main St
Russell, KS 67665-2731

Mailing address

200 S Main St
Russell, KS 67665-2920
Phone (785) 483-0708

Other names 1

  • Russell Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Russell Regional Hospit3 organizations share this tax ID, including this one
Part of
Russell Regional Hospit

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 N Main St
Russell, KS 67665
Phone (785) 483-2411

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1386490738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652731",
            "telephone_number": "785-483-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL KANSAS ASSOCIATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CENTRAL KANSAS ASSOCIATION, INC.",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-483-0708"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.