Cedar Lodge Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

5950 Issued in KS

Legal business name

CEDAR LODGE DENTAL CENTER

Practice address

1001 Cody Ave
Hays, KS 67601-2430

Phone

(785) 625-7369

Fax

(785) 625-7667

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David L Berry, D.D.S.

Title

President

Phone

(785) 625-7369

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487751509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CODY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012430",
            "telephone_number": "785-625-7369",
            "fax_number": "785-625-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CODY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012430",
            "telephone_number": "785-625-7369",
            "fax_number": "785-625-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR LODGE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-625-7369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "5950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA DENTAL",
            "identifier": "835408",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS INSURANCE",
            "identifier": "59703",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Carmichael
• Lane Kyle Carpenter, DC
• Rita Lee Carswell, LCPC
• Andrew J Carter, D.O.
• Taisa Tatiana Carvalho Mick, LMLP
• Cedar Lodge Dental Group, P.a.
• Cedar Lodge Family Dental
• Isaac Matthew Chambers, MD
• Abigail Chaney
• Gulraiz A. Cheema, M.D.

• Dentist in Hays, KS
• Providers in Hays, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.