Discover Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61187 Issued in KS

Legal business name

DISCOVER DENTAL PA

Doing business as

Discover Dental Care

Practice address

21620 Midland Dr
Shawnee, KS 66218-9064

Phone

(913) 268-1337

NPI assigned

Jul 22, 2016

Last updated

Jul 22, 2016By 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) 268-1337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Discover Dental Care Doing business as

Locations

Practitioners 3

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.

• Jordan Alexis Baudoin, DDS

  • Dentist
  • Shawnee, KS
  • NPI 1558295345
  NPD (past)
• Rachel Ann Loggan, DDS

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1285286005
  NPD (past)
• Hannah Sells, DDS

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1639919251
  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1730532920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E IRON AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013401",
            "telephone_number": "785-404-2070",
            "fax_number": "785-670-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21620 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189064",
            "telephone_number": "913-268-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "GUEST",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "913-268-1337"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "61187",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Lynne Desillier, RDN
• Dew Aesthetics & Wellness, LLC.
• Timothy M Deweese, LMSW
• Carly Irene Dexter, T-LMSW
• Dims Inc
• Discovery Practice Management, Inc. (Discovery Mood & Anxiety Program, Shawnee (Kansas City))
• Discovery Practice Management, Inc. (Center For Discovery, Shawnee (Kansas City) RTC)
• Discovery Practice Management, Inc. (Center for Discovery, Shawnee (Kansas City) (OP))
• Ashley Donahue
• Jason Donlon, LAC

• General Practice Dentistry in Shawnee, KS
• Providers in Shawnee, 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 Jul 22, 2016; 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.