NPIMap

Organization Active NPI

Midwest Dental Kansas Augusta State Street PA

Doing business as Midwest Dental

  • Dentist
  • Augusta, KS
National Provider Identifier
1669841821
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MIDWEST DENTAL KANSAS AUGUSTA STATE STREET PA
Doing business as
Midwest Dental
Practice address
401 State St
Augusta, KS 67010-1105
Phone
(316) 775-2482
NPI assigned
Sep 17, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Dr. Paul Mitsch IIINPI 1386734473
Title
Owner
Phone
(316) 775-2482

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

401 State St
Augusta, KS 67010-1105

Mailing address

401 State St
Augusta, KS 67010-1105
Phone (316) 775-2482

Other names 1

  • Midwest Dental Doing business as

National Provider Directory

National Provider Directory

Locations

401 N State St
Augusta, KS 67010
Phone (316) 775-2482

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1669841821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101105",
            "telephone_number": "316-775-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101105",
            "telephone_number": "316-775-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DENTAL KANSAS AUGUSTA STATE STREET PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "MITSCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-775-2482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.