Wamego Dental Professionals LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WAMEGO DENTAL PROFESSIONALS LLC

Practice address

1519 W US Highway 24
Wamego, KS 66547-1322

Phone

(785) 456-2330

NPI assigned

Jun 11, 2019

Last updated

Oct 6, 2022By 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

Paul HarrisNPI 1346778677

Title

Owner

Phone

(785) 456-2330

Specialties & licenses 2

Addresses

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.

• Paul Harris, DDS

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1346778677
  NPD Authorized official
• Kyung Ha Kim, DDS

  • General Practice Dentistry
  • Flower Mound, TX
  • NPI 1659624252
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1477112563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 W US HIGHWAY 24",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W US HIGHWAY 24",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471322",
            "telephone_number": "785-456-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAMEGO DENTAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-456-2330"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Lynn Vogt, LSCSW
• Nicole J Wainwright, O.D.
• Katherine M. Walker, APRN
• Wamego Crna
• Wamego Dental Center, P.a.
• Wamego Drug Store Inc (Wamego LTC Pharmacy)
• Wamego Drug Store Inc (Wamego Drug Store)
• Wamego Hospital Association (Wamego Family Clinic & Wamego Health Center)
• Wamego Hospital Association
• Wamego Hospital Association (Wamego Health Center and Wamego Family Clinic)

• Dental Clinic/Center in Wamego, KS
• Providers in Wamego, 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 Oct 6, 2022; 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.