Max H Patterson DDS Chartered

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4551 Issued in KS

Legal business name

MAX H PATTERSON DDS CHARTERED

Practice address

103 Scott Ave
Fort Scott, KS 66701-1420

Phone

(620) 223-5210

Fax

(620) 223-5213

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By 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

Max H Patterson, DDSNPI 1700093960

Title

President

Phone

(620) 223-5210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Max H Patterson, DDS

  • General Practice Dentistry
  • Fort Scott, KS
  • NPI 1700093960
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770797516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SCOTT AVE",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011420",
            "telephone_number": "620-223-5210",
            "fax_number": "620-223-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SCOTT AVE",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011420",
            "telephone_number": "620-223-5210",
            "fax_number": "620-223-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX H PATTERSON DDS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-223-5210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lewis
• Janderon Loyd, LMSW-T
• Christina Lutter-Smith
• Lux Dental LLC (Accent Dental)
• Joy Noel Mapes, LMSW
• Matthew Clem McGhee, MS, LCPC
• Dana Marshall McKenney, ARNP
• Charles Henley Medbery, MD
• Medicalodges, Inc. (Community Care Connections Ft. Scott)
• Medicalodges, Inc. (Medicalodges Ft. Scott)

• General Practice Dentistry in Fort Scott, KS
• Providers in Fort Scott, 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 Aug 22, 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.