Active NPI
Michael D. Kahn, DDS
- General Practice Dentistry
- Leawood, KS
National Provider Identifier
1417929589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6837
- Practice address
- 3711 W 133Rd St
Leawood, KS 66209-3347 - Phone
- (913) 491-3700
- Fax
- (913) 491-3702
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6837 | KS | Primary |
| General Practice Dentistry | 1223G0001X | 015431 | MO |
Addresses
Primary practice location
3711 W 133Rd St
Leawood, KS 66209-3347
Mailing address
3711 W 133Rd St
Leawood, KS 66209-3347
Phone (913) 491-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6837 | KS | MD | General Practice Dentistry |
| 015431 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kahn Family Dental Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Overland Park, KS
- NPI 1114257961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1417929589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 W 133RD ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662093347",
"telephone_number": "913-491-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 W 133RD ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662093347",
"telephone_number": "913-491-3700",
"fax_number": "913-491-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "MICHAEL",
"middle_name": "D.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6837",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "015431",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.