Sabetha Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SABETHA DENTAL LLC

Practice address

1309 S US Old Highway 75
Sabetha, KS 66534

Phone

(785) 284-2323

Fax

(785) 284-0075

NPI assigned

Jun 22, 2021

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Louise Tedman, DMDNPI 1316932320

Title

Dentist-Owner

Phone

(785) 284-2323

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Betsy Tedman DMD LLC Former legal business name

Locations

Practitioners 2

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.

• Elizabeth Tedman, DMD

  • General Practice Dentistry
  • Sabetha, KS
  • NPI 1316932320
  NPD (past) Authorized official
• Kyle Gilbert Stallbaumer, DDS

  • Dentist
  • Sabetha, KS
  • NPI 1376111492
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1457920548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S US OLD HIGHWAY 75",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "66534",
            "telephone_number": "785-284-2323",
            "fax_number": "785-284-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S US OLD HIGHWAY 75",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "66534",
            "telephone_number": "785-284-2323",
            "fax_number": "785-284-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABETHA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "TEDMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "785-284-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316932320",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betsy Tedman DMD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jody Reel, PHARMD
• Allan C Ross, DDS
• Sabetha Apothecary LLC (Sabetha Apothecary)
• Sabetha Community Hospital
• Sabetha Comunity Hospital
• Sabetha Nursing, LLC (Sabetha Manor)
• Sabetha Pharmacy Inc (Sabetha Pharmacy)
• Sabetha Pharmacy Inc (Sabetha Pharmacy)
• Sabetha Residential, LLC (Cobblestone COurt)
• Simpson Chiropractic PA (Simpson Chiropractic &simpson Lukert Chiropractic)

• Dental Clinic/Center in Sabetha, KS
• Providers in Sabetha, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.