Andrew Mark Sousa, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60914 Issued in KS

Practice address

125 E Park St
Olathe, KS 66061-3428

Phone

(913) 782-7580

NPI assigned

Jul 7, 2011

Last updated

Sep 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kiene Dental Group LLC

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1851482756
  NPD (past)
• Larry D Sheldon DDS Chartered

  dba Sheldon Dental Group

  • General Practice Dentistry
  • Olathe, KS
  • NPI 1447246558
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1689961856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PARK ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PARK ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613428",
            "telephone_number": "913-782-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11005 W 60th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Shawnee Mission",
            "state": "KS",
            "postal_code": "662032789",
            "country_code": "US",
            "telephone_number": "913-631-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011017417",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Sood, MD
• Andrea Sorrels
• Brenda Diane Soto, LSCSW
• Jami Soukup, LPC, RD
• Sound Mind Counseling LLC
• McKenzie South
• Katherine Jean Southall, MD
• Bradley James Southard, PHARM.D
• Southern Hospitality Home
• Julia Southern, LMSW

• General Practice Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.