David Francisco
Individual provider Active NPI Endodontics · Overland Park, KS
NPI 1487078036 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1487078036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 5743 (KS)
- Practice address
- 4601 W 109TH St
Suite 250
Overland Park, KS 66211-1318 - Phone
- (913) 498-3636
- Fax
- (913) 498-0935
- NPI assigned
- Feb 18, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5743 | KS | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5743 | KS | Yes |
Addresses
Primary practice location
4601 W 109TH St
Suite 250
Overland Park, KS 66211-1318
Mailing address
4601 W 109TH St
Suite 250
Overland Park, KS 66211-1318
Phone (913) 498-3636
NPI Registry JSON
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1487078036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 W 109TH ST",
"address_2": "SUITE 250",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111318",
"telephone_number": "913-498-3636",
"fax_number": "913-498-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 W 109TH ST",
"address_2": "SUITE 250",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111318",
"telephone_number": "913-498-3636",
"fax_number": "913-498-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCISCO",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "5743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. 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.