NPIMap

Organization Active NPI

Rawlins County Dental Clinic Fund

Doing business as Rawlins County Dental Clinic

  • Dental Clinic/Center
  • Atwood, KS
National Provider Identifier
1740423003
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
60622 Issued in KS
Legal business name
RAWLINS COUNTY DENTAL CLINIC FUND
Doing business as
Rawlins County Dental Clinic
Practice address
515 State St
Atwood, KS 67730-1930
Phone
(785) 626-8290
Fax
(785) 626-8332
NPI assigned
Apr 15, 2009
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Debra PochopNPI 1972930154
Title
Ceo
Phone
(785) 626-8290

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
Dental Clinic/Center 261QD0000X 60622 KS Primary

Addresses

Primary practice location

515 State St
Atwood, KS 67730-1930

Mailing address

PO Box 177
Atwood, KS 67730-0177
Phone (785) 626-8290

Other practice location 1

106 S Rodehaver Ave
Oberlin, KS 67749-2247
Phone (785) 475-0022

Other names 1

  • Rawlins County Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

707 Grant St
Ste 1
Atwood, KS 67730
Phone (785) 626-8290

106 S Rodehaver Ave
Oberlin, KS 67749
Phone (785) 475-0022

Practitioners & affiliated clinicians

Practitioners 4

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": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1740423003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "ATWOOD",
            "state": "KS",
            "postal_code": "677300177",
            "telephone_number": "785-626-8290",
            "fax_number": "785-626-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STATE ST",
            "city": "ATWOOD",
            "state": "KS",
            "postal_code": "677301930",
            "telephone_number": "785-626-8290",
            "fax_number": "785-626-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S Rodehaver Ave",
            "address_purpose": "LOCATION",
            "city": "Oberlin",
            "state": "KS",
            "postal_code": "677492247",
            "country_code": "US",
            "telephone_number": "785-475-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAWLINS COUNTY DENTAL CLINIC FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "POCHOP",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-626-8290"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "60622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rawlins County Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rawlins County Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atwood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.