Organization Active NPI

The Village Dentist

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1407165202
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60259 Issued in KS
Legal business name
THE VILLAGE DENTIST
Practice address
6925 Tomahawk Rd
Prairie Village, KS 66208-2618
Phone
(913) 789-7455
Fax
(913) 789-9809
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ELITE FAMILY DENTAL PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Jennifer McAroy, DDSNPI 1871574277
Title
Owner/President
Phone
(913) 789-7455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60259 KS Primary

Addresses

Primary practice location

6925 Tomahawk Rd
Prairie Village, KS 66208-2618

Mailing address

6925 Tomahawk Rd
Prairie Village, KS 66208-2618
Phone (913) 789-7455

National Provider Directory

National Provider Directory
Part of
The Village Dentist

Locations

6925 Tomahawk Rd
Prairie Village, KS 66208
Phone (913) 789-7455

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1407165202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 TOMAHAWK RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082618",
            "telephone_number": "913-789-7455",
            "fax_number": "913-789-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 TOMAHAWK RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082618",
            "telephone_number": "913-789-7455",
            "fax_number": "913-789-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE DENTIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE FAMILY DENTAL PA",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MCAROY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "913-789-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.