NPIMap

Organization Active NPI

Edwards & Wilson Periodontics of Topeka, LLC

  • Dentist
  • Topeka, KS
National Provider Identifier
1619354545
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6357 Issued in KS
Legal business name
EDWARDS & WILSON PERIODONTICS OF TOPEKA, LLC
Practice address
3033 SW Villa West Dr Ste B
Topeka, KS 66614-4488
Phone
(785) 272-0770
Fax
(785) 272-0035
NPI assigned
Apr 29, 2015
Organization subpart
Yes
Parent organization
EDWARDS AND WILSON PERIODONTICS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Ashli Elizabeth Gill
Title
Office Manager
Phone
(785) 272-0770

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6357 KS Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 60071 KS
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 61063 KS

Addresses

Primary practice location

3033 SW Villa West Dr Ste B
Topeka, KS 66614-4488

Mailing address

3033 SW Villa West Dr Ste B
Topeka, KS 66614-4488
Phone (785) 272-0770

Other identifiers 1

IdentifierTypeStateIssuer
7948912OtherKSBUSINESS ENTITY ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Edwards Wilson Periodontics PA2 organizations share this tax ID, including this one
Part of
Edwards Wilson Periodontics PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3033 SW Villa West Dr
Ste B
Topeka, KS 66614
Phone (785) 272-0770

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1619354545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 SW VILLA WEST DR STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144488",
            "telephone_number": "785-272-0770",
            "fax_number": "785-272-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 SW VILLA WEST DR STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144488",
            "telephone_number": "785-272-0770",
            "fax_number": "785-272-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS & WILSON PERIODONTICS OF TOPEKA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDWARDS AND WILSON PERIODONTICS, P.A.",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "ASHLI",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-272-0770"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "6357",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60071",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "61063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ENTITY ID NUMBER",
            "identifier": "7948912",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.