Family Dental Co, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60886 Issued in KS

Legal business name

FAMILY DENTAL CO, LLC

Practice address

7311 W 79TH St
Overland Park, KS 66204-2908

Phone

(913) 269-2088

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Melissa E Kusiak, DDSNPI 1225312135

Title

Owner

Phone

(913) 269-2088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa E Kusiak, DDS

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1225312135
  NPD (past) Authorized official

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1619376332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7653 COLONIAL DR",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084638",
            "telephone_number": "913-269-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 W 79TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042908",
            "telephone_number": "913-269-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "KUSIAK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-269-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Fallert, D.C.
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• Ashley E Fallucca, PA
• Alex Michael Faltermeier
• Families, LLC
• Family Eyecare of Overland Park, P.a.
• Family Health Center, PA
• Family Health Group, Inc (Family Health Group, Chartered)
• Family Health Medical Group of Overland Park, LLC
• Tyler Fancher, PA-C

• General Practice Dentistry in Overland Park, KS
• Providers in Overland Park, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.