Active NPI
Joseph Ammon Laudie, D.D.S
- General Practice Dentistry
- Emporia, KS
National Provider Identifier
1457589806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60693
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150505002967 | KS | Order and Referring Only - Oral Surgery | 7113101890 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60693 | KS | MD | General Practice Dentistry |
| PENDING | OH | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Emporia, KS
- NPI 1376632083
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.