NPIMap

Organization Active NPI

Salina Riverside Dental Care, P. a.

  • General Practice Dentistry
  • Salina, KS
National Provider Identifier
1629098462
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SALINA RIVERSIDE DENTAL CARE, P. A.
Practice address
950 Elmhurst Blvd
Salina, KS 67401-7402
Phone
(785) 827-4401
Fax
(785) 827-1560
NPI assigned
Jul 21, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Mr. Jeffrey T. Koksal, D.D.S.NPI 1073536660
Title
Dentist/Owner
Phone
(785) 827-4401

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

950 Elmhurst Blvd
Salina, KS 67401-7402

Mailing address

950 Elmhurst Blvd
Salina, KS 67401-7402
Phone (785) 827-4401

Other names 1

  • Jeff, Koksal, D.D.S., P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

950 Elmhurst Blvd
Salina, KS 67401
Phone (785) 827-4401

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1629098462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017402",
            "telephone_number": "785-827-4401",
            "fax_number": "785-827-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017402",
            "telephone_number": "785-827-4401",
            "fax_number": "785-827-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINA RIVERSIDE DENTAL CARE, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "KOKSAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "785-827-4401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff, Koksal, D.D.S., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.