NPIMap

Organization Active NPI

Complete Dental Care, P.a.

  • General Practice Dentistry
  • Lenexa, KS
National Provider Identifier
1639310964
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6144 Issued in KS
Legal business name
COMPLETE DENTAL CARE, P.A.
Practice address
11150 Pflumm Road
Suite 100
Lenexa, KS 66215
Phone
(913) 317-6453
Fax
(913) 469-5104
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mrs. Gina Haskett, DSDF
Title
Office Manager
Phone
(913) 317-6453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6144 KS Primary
General Practice Dentistry 1223G0001X 60076 KS

Addresses

Primary practice location

11150 Pflumm Road
Suite 100
Lenexa, KS 66215

Mailing address

11150 S Pflumm Rd
Suite 100
Lenexa, KS 66215-4810
Phone (913) 317-6453

National Provider Directory

National Provider Directory

Locations

11150 S Pflumm Rd
Ste 100
Olathe, KS 66215
Phone (913) 317-6453

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1639310964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 S PFLUMM RD",
            "address_2": "SUITE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154810",
            "telephone_number": "913-317-6453",
            "fax_number": "913-469-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 PFLUMM ROAD",
            "address_2": "SUITE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-317-6453",
            "fax_number": "913-469-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HASKETT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-317-6453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DSDF"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6144",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.