NPIMap

Organization Active NPI

Wheat State Dental, LLC

  • Dental Clinic/Center
  • Lenexa, KS
National Provider Identifier
1609395342
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WHEAT STATE DENTAL, LLC
Practice address
11150 S. Pflumm Rd
Lenexa, KS 66215-3506
Phone
(913) 782-0674
Fax
(913) 469-5104
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Paul Dewitte Rosel, DDSNPI 1386835924
Title
Owner/Member
Phone
(913) 687-5353

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11150 S. Pflumm Rd
Lenexa, KS 66215-3506

Mailing address

11150 S. Pflumm Rd
Lenexa, KS 66215-3506
Phone (913) 782-0674

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1609395342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 S. PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153506",
            "telephone_number": "913-782-0674",
            "fax_number": "913-469-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 S. PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153506",
            "telephone_number": "913-782-0674",
            "fax_number": "913-469-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT STATE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "ROSEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DEWITTE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "913-687-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.