NPIMap

Organization Active NPI

Mark D. Gilroy DDS, PA

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1760087795
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK D. GILROY DDS, PA
Practice address
11826 W 135TH St
Overland Park, KS 66221-9399
Phone
(913) 681-1900
Fax
(913) 681-3136
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Dr. Mark Gilroy, DDSNPI 1174697734
Title
Owner/Doctor
Phone
(913) 681-1900

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11826 W 135TH St
Overland Park, KS 66221-9399

Mailing address

11826 W 135TH St
Overland Park, KS 66221-9399
Phone (913) 681-1900

Other identifiers 2

IdentifierTypeStateIssuer
1437645025MedicaidKS
1174697734MedicaidKS

Other names 1

  • Gilroy Dental Care Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email Direct

National Provider Directory

National Provider Directory
Tax ID family
Gilroy Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1760087795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11826 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219399",
            "telephone_number": "913-681-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11826 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219399",
            "telephone_number": "913-681-1900",
            "fax_number": "913-681-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. GILROY DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "GILROY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "913-681-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437645025",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174697734",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Overland Park",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "11826 W 135th St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662219399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gilroy Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.