Nick A. Prater, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5536 Issued in KS

Practice address

13095 S Mur Len Rd
Suite 160
Olathe, KS 66062-1230

Phone

(913) 764-6222

Fax

(913) 764-5826

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568404770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13095 S MUR LEN RD",
            "address_2": "SUITE 160",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621230",
            "telephone_number": "913-764-6222",
            "fax_number": "913-764-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13095 S MUR LEN RD",
            "address_2": "SUITE 160",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621230",
            "telephone_number": "913-764-6222",
            "fax_number": "913-764-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "NICK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "5536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF KANSAS",
            "identifier": "069961",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MISSOURI",
            "identifier": "08345013",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "579420",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dusti D. Powell, MS, TLMFT
• Michelle Leann Powell, LMSW
• Prairie Pointe Orthodontics, PA
• Prairie Village Behavioral Health
• Lukkamol Prapkree, PHD, RDN, LD
• Sarah Prater, BA
• Myranda Prather, DNP, APRN, FNP-C
• Preferred Pediatrics
• Premier Plastic Surgery PA
• Presbyterian Manors, Inc.

• Pediatric Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.