Organization Active NPI

John C. Patton, DDS Chartered

  • Dentist
  • Emporia, KS
National Provider Identifier
1659617082
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5186 Issued in KS
Legal business name
JOHN C. PATTON, DDS CHARTERED
Practice address
1507 W 12TH Ave
Emporia, KS 66801-2457
Phone
(620) 342-0673
Fax
(620) 343-6310
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
John C. Patton, DDSNPI 1033197223
Title
Owner/President
Phone
(620) 342-0673

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5186 KS Primary

Addresses

Primary practice location

1507 W 12TH Ave
Emporia, KS 66801-2457

Mailing address

1507 W 12TH Ave
Emporia, KS 66801-2457

Other identifiers 1

IdentifierTypeStateIssuer
100092380AMedicaidKS

National Provider Directory

National Provider Directory

Locations

1507 W 12th Ave
Emporia, KS 66801
Phone (620) 342-0673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1659617082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012457",
            "telephone_number": "620-342-0673",
            "fax_number": "620-343-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. PATTON, DDS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "620-342-0673",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "5186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092380A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.