NPIMap

Organization Active NPI

Tonganoxie Family Dentistry

Doing business as Valley Falls Family Dentistry

  • General Practice Dentistry
  • Valley Falls, KS
National Provider Identifier
1417469834
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60803 Issued in KS
Legal business name
TONGANOXIE FAMILY DENTISTRY
Doing business as
Valley Falls Family Dentistry
Practice address
800 Walnut Street
Valley Falls, KS 66088
Phone
(785) 945-6248
Fax
(785) 945-6249
NPI assigned
Oct 25, 2017
Last updated
Oct 25, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TONGANOXIE FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
David H Jaeger, DDSNPI 1811128200
Title
Owner
Phone
(816) 813-7917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60803 KS Primary

Addresses

Primary practice location

800 Walnut Street
Valley Falls, KS 66088

Mailing address

PO Box 343
Tonganoxie, KS 66086
Phone (913) 417-7333

Other names 1

  • Valley Falls Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tonganoxie Family Dentistry3 organizations share this tax ID, including this one
Part of
Tonganoxie Family Dentistry

Other organizations with this tax ID 2

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

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": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1417469834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "66086",
            "telephone_number": "913-417-7333",
            "fax_number": "913-417-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT STREET",
            "city": "VALLEY FALLS",
            "state": "KS",
            "postal_code": "66088",
            "telephone_number": "785-945-6248",
            "fax_number": "785-945-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGANOXIE FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TONGANOXIE FAMILY DENTISTRY",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-813-7917",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Falls Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Falls, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.