Individual provider Active NPI

Dakota G Olberding, PA

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1770338782
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03144 Issued in KS
Practice address
2921 SW Wanamaker Dr
Topeka, KS 66614-5328
Phone
(785) 272-6860
Fax
(785) 272-5839
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-03144 KS Primary

Addresses

Primary practice location

2921 SW Wanamaker Dr
Topeka, KS 66614-5328

Mailing address

2200 SW 6TH Ave Ste 104
Topeka, KS 66606-1707
Phone (785) 354-8518

Other names 1

  • Dakota G McQueen Former name

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121001320 KS Practitioner - Physician Assistant 8921590548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Practice addresses (Care Compare)

2200 SW 6TH Ave
Topeka, KS 66606-1707

2200 SW 6TH St
Topeka, KS 66606-1707
Phone (785) 354-8518

2921 Swwanamaker Dr
Topeka, KS 66614-5328
Phone (785) 272-6860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-03144KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Clinic PA Physician Assistant CurrentSince Sep 26, 2025 Accepting new patients
Kansas Medical Clinic, PA PastSince Sep 21, 2025 Accepting new patients

Locations

2921 SW Wanamaker Dr
Topeka, KS 66614
Phone (785) 272-6860

2200 SW 6th Ave
Ste 104
Topeka, KS 66606
Phone (785) 354-8518

2200 SW 6th Ave
Topeka, KS 66606
Phone (785) 295-0956

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1770338782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE STE 104",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 SW WANAMAKER DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145328",
            "telephone_number": "785-272-6860",
            "fax_number": "785-272-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLBERDING",
        "first_name": "DAKOTA",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAKOTA",
            "last_name": "MCQUEEN",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.