Active NPI
Lori Jeanne Engelmann, DDS
- General Practice Dentistry
- Leawood, KS
National Provider Identifier
1750477220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6450
- Practice address
- 4300 W 133Rd St
Suite 100
Leawood, KS 66209-3306 - Phone
- (913) 451-0006
- Fax
- (913) 273-0570
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6450 | KS | Primary |
Addresses
Primary practice location
4300 W 133Rd St
Suite 100
Leawood, KS 66209-3306
Mailing address
4300 W 133Rd St
Suite 100
Leawood, KS 66209-3306
Phone (913) 451-0006
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422001170 | KS | Order and Referring Only - Dentist | 4880993047 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1750477220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W 133RD ST",
"address_2": "SUITE 100",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662093306",
"telephone_number": "913-451-0006",
"fax_number": "913-273-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W 133RD ST",
"address_2": "SUITE 100",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662093306",
"telephone_number": "913-451-0006",
"fax_number": "913-273-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELMANN",
"first_name": "LORI",
"middle_name": "JEANNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.