Individual provider Active NPI

Joseph Ammon Laudie, D.D.S

  • General Practice Dentistry
  • Emporia, KS
National Provider Identifier
1457589806
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60693 Issued in KS
Practice address
2516 W 15TH Ave
Emporia, KS 66801-6102
Phone
(620) 342-8032
Fax
(620) 342-5735
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X PENDING OH
General Practice Dentistry 1223G0001X 60693 KS Primary

Addresses

Primary practice location

2516 W 15TH Ave
Emporia, KS 66801-6102

Mailing address

2510 W View Dr
Emporia, KS 66801-5980
Phone (913) 980-8304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20150505002967 KS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113101890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60693KSMDGeneral Practice Dentistry
PENDINGOHMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark I Ensman DDS PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457589806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W VIEW DR",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015980",
            "telephone_number": "913-980-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016102",
            "telephone_number": "620-342-8032",
            "fax_number": "620-342-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDIE",
        "first_name": "JOSEPH",
        "middle_name": "AMMON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.