Organization Active NPI

Nickie L. Perry, DDS, PA

  • General Practice Dentistry
  • Olathe, KS
National Provider Identifier
1497225643
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Nov 30, 2018

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.