Active NPI
Nickie L. Perry, DDS, PA
- General Practice Dentistry
- Olathe, KS
National Provider Identifier
1497225643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NICKIE L. PERRY, DDS, PA
- Practice address
- 304 S Clairborne Rd Ste 100
Olathe, KS 66062-4107 - Phone
- (913) 764-6367
- Fax
- (913) 764-6387
- NPI assigned
- Nov 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nickie L. Perry, DDS
- Title
- President
- Phone
- (913) 764-6367
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
304 S Clairborne Rd Ste 100
Olathe, KS 66062-4107
Mailing address
304 S Clairborne Rd Ste 100
Olathe, KS 66062-4107
Phone (913) 764-6367
Other names 1
- Cedar Place Dental
National Provider Directory
National Provider DirectoryLocations
304 S Clairborne Rd
Ste 100
Olathe, KS 66062
Phone (913) 764-6367
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Olathe, KS
- NPI 1750360392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543536000000",
"number": "1497225643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S CLAIRBORNE RD STE 100",
"city": "OLATHE",
"state": "KS",
"postal_code": "660624107",
"telephone_number": "913-764-6367",
"fax_number": "913-764-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S CLAIRBORNE RD STE 100",
"city": "OLATHE",
"state": "KS",
"postal_code": "660624107",
"telephone_number": "913-764-6367",
"fax_number": "913-764-6387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICKIE L. PERRY, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "NICKIE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-764-6367",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Place Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.