Periodontal Specialist PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTAL SPECIALIST PA

Practice address

11401 Nall Avenue
Leawood, KS 66211-1674

Phone

(913) 663-4867

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Thomas, DDS MS

Title

Owner/Periodontist

Phone

(913) 663-4867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1497770200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 NALL AVENUE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111674",
            "telephone_number": "913-663-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 NALL AVENUE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111674",
            "telephone_number": "913-663-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "913-663-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher W Peer, MD
• Belinda Lou Peister, MA, LPC, NCC
• Chase Roger Pennewell, PA
• Peppes Dental Group P.a.
• Gregory John Peppes, DDS
• Cory Perry
• Megan Perry
• Troy C Peters
• Julie Peterson, APRN
• Michelle Renae Peterson, DNP, FNP

• Periodontics in Leawood, KS
• Providers in Leawood, KS by specialty
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.