John Donald Alderman, DDS
Individual provider Active NPI Dentist · Council Grove, KS
NPI 1477555803 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477555803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6319 (KS)
- Practice address
- 111 W Main St
Council Grove, KS 66846-1702 - Phone
- (620) 767-6744
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6319 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John D. Alderman DDS PA | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6319 | KS | Yes |
Addresses
Primary practice location
111 W Main St
Council Grove, KS 66846-1702
Mailing address
605 Westview CT
Council Grove, KS 66846-8798
Other providers in Council Grove, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.