Individual provider Active NPI

Stephanie Michelle Warden, DDS

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1437138633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7167 Issued in KS
Practice address
2200 West 75TH Street
Suite 101
Prairie Village, KS 66208-2517
Phone
(913) 825-2500
Fax
(913) 825-2501
NPI assigned
Jan 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7167 KS Primary

Addresses

Primary practice location

2200 West 75TH Street
Suite 101
Prairie Village, KS 66208-2517

Mailing address

2200 West 75TH Street
Suite 101
Prairie Village, KS 66208-2517
Phone (913) 825-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 15, 2014 through May 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7167KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie M. Warden, D.D.S., P.a. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437138633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WEST 75TH STREET",
            "address_2": "SUITE 101",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082517",
            "telephone_number": "913-825-2500",
            "fax_number": "913-825-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WEST 75TH STREET",
            "address_2": "SUITE 101",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662082517",
            "telephone_number": "913-825-2500",
            "fax_number": "913-825-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.