Individual provider Active NPI

Paul Dewitte Rosel, DDS

  • Dentist
  • Lenexa, KS
National Provider Identifier
1386835924
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60508 Issued in KS
Practice address
11150 S Pflumm Rd
Lenexa, KS 66215-4810
Phone
(913) 782-0674
Fax
(913) 782-8423
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60508 KS Primary

Addresses

Primary practice location

11150 S Pflumm Rd
Lenexa, KS 66215-4810

Mailing address

11150 S Pflumm Rd
Lenexa, KS 66215-4810
Phone (913) 782-0674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707001086 KS Order and Referring Only - DentistPractitioner - Dentist 5991097222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wheat State Dental, LLC Current Accepting new patients
Paul D. Rosel D.D.S., L.L.C. Dentist Current Accepting new patients

Locations

11150 S Pflumm Rd
Olathe, KS 66215
Phone (913) 782-0674

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1386835924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 S PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154810",
            "telephone_number": "913-782-0674",
            "fax_number": "913-782-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 S PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154810",
            "telephone_number": "913-782-0674",
            "fax_number": "913-782-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEL",
        "first_name": "PAUL",
        "middle_name": "DEWITTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.