Ward Periodontics, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

60605 Issued in KS

Legal business name

WARD PERIODONTICS, LLC

Practice address

12701 Metcalf Ave
Suite 200
Overland Park, KS 66213-2617

Phone

(913) 563-7400

Fax

(913) 563-7402

NPI assigned

Mar 18, 2009

Last updated

Mar 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Audra Sue Ward, D.M.D.NPI 1194966226

Title

Owner

Phone

(913) 563-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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.

• Audra Sue Ward, D.M.D

  • Periodontics
  • Overland Park, KS
  • NPI 1194966226
  NPD Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1629219878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 METCALF AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132617",
            "telephone_number": "913-563-7400",
            "fax_number": "913-563-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 METCALF AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132617",
            "telephone_number": "913-563-7400",
            "fax_number": "913-563-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD PERIODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-563-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "60605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Y Wang, M.D.
• Sidney W Wang, M.D.
• Yaqiong Wang, PT, DPT
• Valentine Wangombe
• Barbara Warady
• Audra Sue Ward, D.M.D
• Derrick Robert Ward, M.D.
• Jeane M Ward, C.N.M.
• Lauren Ward
• Lillian Ward

• Periodontics in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Periodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.