Prairie Rock Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRAIRIE ROCK DENTAL, P.A.

Practice address

8123 E Harry St
Wichita, KS 67207-4603

Phone

(316) 686-3397

NPI assigned

Nov 4, 2020

Last updated

Feb 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Guest

Title

Coo

Phone

(913) 645-0079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ted R Milligan, D.D.S., P.A.

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1881687382
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1710588900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 S OHIO CT STE 259",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016602",
            "telephone_number": "785-404-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8123 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672074603",
            "telephone_number": "316-686-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE ROCK DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "GUEST",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "913-645-0079"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahla Marie Pracht
• Prairie Creek Imaging LLC
• Prairie Endoscopy LLC
• Prairie Gynecology PA
• Prairie Health and Wellness, LLC (Prairie Health and Wellness)
• Prairie Roots Counseling, LLC
• Prairie View, Inc.
• Kerah Pralle, LMSW
• Victoria Prater-Rochier, GC
• Leah Hope Prater

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, 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 Feb 1, 2023; 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.