Active NPI
Katharyn Ann Roe-Blythe, DDS
- Dentist
- Herington, KS
National Provider Identifier
1659113892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62139
- Practice address
- 4 W Main St
Herington, KS 67449-2244 - Phone
- (785) 258-2922
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 62139 | KS | |
| Dentist | 122300000X | 62139 | KS | Primary |
Addresses
Primary practice location
4 W Main St
Herington, KS 67449-2244
Mailing address
978 S Highway 4
White City, KS 66872-9412
Phone (785) 366-6107
Other practice location 1
361 Grant Ave
Junction City, KS 66441-4201
Phone (785) 238-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62139 | KS | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Dental, LLC | Current | Accepting new patients | |
| Konza Prairie Community Health Center, Inc. | Past | Accepting new patients | |
| L. E. Otte DDS, PA | Past | Accepting new patients |
Locations
4 W Main St
Herington, KS 67449
Phone (785) 258-2922
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Herington, KS
- NPI 1467261735
-
- Federally Qualified Health Center (FQHC)
- Junction City, KS
- NPI 1447247663
-
- General Practice Dentistry
- Herington, KS
- NPI 1942751524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1659113892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 S HIGHWAY 4",
"city": "WHITE CITY",
"state": "KS",
"postal_code": "668729412",
"telephone_number": "785-366-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W MAIN ST",
"city": "HERINGTON",
"state": "KS",
"postal_code": "674492244",
"telephone_number": "785-258-2922"
}
],
"practiceLocations": [
{
"address_1": "361 Grant Ave",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "KS",
"postal_code": "664414201",
"country_code": "US",
"telephone_number": "785-238-4711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROE-BLYTHE",
"first_name": "KATHARYN",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "KS",
"license": "62139",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "62139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.