Active NPI
Foxridge Dental
- General Practice Dentistry
- Mission, KS
National Provider Identifier
1558950956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FOXRIDGE DENTAL
- Practice address
- 5517 Foxridge Dr
Mission, KS 66202-1556 - Phone
- (316) 519-5862
- NPI assigned
- Jan 11, 2021
- 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
- Dr. Jessica Niederee, DMD
- Title
- Dentist
- Phone
- (316) 519-5862
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5517 Foxridge Dr
Mission, KS 66202-1556
Mailing address
5715 W 81St St
Prairie Village, KS 66208-4804
Phone (316) 519-5862
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@foxridgedental.com | Direct |
National Provider Directory
National Provider DirectoryLocations
5517 Foxridge Dr
Mission, KS 66202
Phone (316) 519-5862
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": "1610323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1558950956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 W 81ST ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084804",
"telephone_number": "316-519-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5517 FOXRIDGE DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662021556",
"telephone_number": "316-519-5862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOXRIDGE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A",
"authorized_official_last_name": "NIEDEREE",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "316-519-5862",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@foxridgedental.com",
"affiliation": "N",
"endpointDescription": "Office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5517 Foxridge Dr",
"city": "Mission",
"state": "KS",
"country_code": "US",
"postal_code": "662021556",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.