Individual provider Active NPI

Elizabeth Marie Hechler

  • Pediatric Dentistry
  • Olathe, KS
National Provider Identifier
1659810778
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
61608 Issued in KS
Practice address
975 N Mur Len Rd Ste a
Olathe, KS 66062-1803
Phone
(913) 829-0981
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61608 KS
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 61608 KS Primary

Addresses

Primary practice location

975 N Mur Len Rd Ste a
Olathe, KS 66062-1803

Mailing address

21029 W 113TH PL
Olathe, KS 66061-2908
Phone (660) 537-2636

Other practice location 1

346 Maine St
Lawrence, KS 66044-1393
Phone (785) 842-9223

Other practice location 2

322 S. Dental Science Bldg
Iowa City, IA 52242-1001
Phone (319) 335-7440

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

LicenseStateTypeSpecialty
61608KSMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Pediatric Dental, LLC Pediatric Dentistry Current Accepting new patients
David J Cobb, DDS, PA Pediatric Dentistry PastSince Sep 13, 2020 Accepting new patients

Locations

7560 W 160th St
Overland Park, KS 66085
Phone (913) 232-2708

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1659810778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21029 W 113TH PL",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612908",
            "telephone_number": "660-537-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N MUR LEN RD STE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621803",
            "telephone_number": "913-829-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 Maine St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441393",
            "country_code": "US",
            "telephone_number": "785-842-9223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 S. Dental Science Bldg",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421001",
            "country_code": "US",
            "telephone_number": "319-335-7440",
            "fax_number": "319-335-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECHLER",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61608",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "61608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.