Keerthana M Satheesh, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

60338 Issued in KS

Practice address

10870 Benson St
BLDG. 21 Suite 2100
Overland Park, KS 66210-1502

Phone

(913) 451-6158

Fax

(913) 451-9463

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Periodontist PA

  • Periodontics
  • Overland Park, KS
  • NPI 1104948959
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407978232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10870 BENSON ST",
            "address_2": "BLDG. 21 SUITE 2100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101502",
            "telephone_number": "913-451-6158",
            "fax_number": "913-451-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 BENSON ST",
            "address_2": "BLDG. 21 SUITE 2100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101502",
            "telephone_number": "913-451-6158",
            "fax_number": "913-451-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHEESH",
        "first_name": "KEERTHANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "60338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard B Sapp, RPH
• Bailey M Sarna
• Camilla Sarvis, CPTA
• Sastun Health & Wellness, PA
• Harry J Satariano, LSCSW, BCD
• DJ Satterfield
• Dustin Trevor Sattler, MD
• Abby E Sauber, DPT
• Mary M Sauder, PT
• Ashley Renee Saueressig

• Periodontics in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.