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

LicenseStateTypeSpecialty
5743KSMDEndodontist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 18, 2014.

{
    "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

All providers in Overland Park, KS · Endodontics in Kansas

Sources for this page

Verify at the official NPI Registry.