NPIMap

Organization Active NPI

Image Dentistry PA

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1497092050
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60200 Issued in KS
Legal business name
IMAGE DENTISTRY PA
Practice address
8160 W 135TH St
Overland Park, KS 66223-1112
Phone
(913) 402-0009
Fax
(913) 402-0016
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Svetlana Sobolevskaya, D.D.S.NPI 1457372559
Title
Dentist
Phone
(913) 402-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60200 KS Primary

Addresses

Primary practice location

8160 W 135TH St
Overland Park, KS 66223-1112

Mailing address

8160 W 135TH St
Overland Park, KS 66223-1112
Phone (913) 402-0009

National Provider Directory

National Provider Directory

Locations

8160 W 135th St
Overland Park, KS 66223
Phone (913) 402-0009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1497092050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231112",
            "telephone_number": "913-402-0009",
            "fax_number": "913-402-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231112",
            "telephone_number": "913-402-0009",
            "fax_number": "913-402-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SOBOLEVSKAYA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "913-402-0009",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60200",
            "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. Last updated by the provider on Jan 15, 2013; 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.