Pediatric Specialist PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC SPECIALIST PA

Practice address

11401 Nall Avenue
Leawood, KS 66211-1674

Phone

(913) 649-5437

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donna Thomas, DDS

Title

Owner/Dentist

Phone

(913) 649-5437

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Dental Specialists PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pediatric Dental Specialists, PA

  • Dental Clinic/Center
  • Lee'S Summit, MO
  • NPI 1811011018
  NPD tax ID

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1619992419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 NALL AVE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111893",
            "telephone_number": "913-649-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 NALL AVENUE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111674",
            "telephone_number": "913-649-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "913-649-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J Patterson, CRNA
• Shy Blu Patterson
• Paul a Jones DDS PC
• Paul Roman Hura MD LLC
• Pediatric Eye Care, P.a.
• Pediatrix Medical Group
• Christopher W Peer, MD
• Belinda Lou Peister, MA, LPC, NCC
• Chase Roger Pennewell, PA
• Peppes Dental Group P.a.

• Pediatric Dentistry in Leawood, KS
• Providers in Leawood, 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 17, 2008; 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.