NPIMap

Organization Active NPI

Robert D. Long DDS, PA

  • Dentist
  • Leawood, KS
National Provider Identifier
1780043018
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
KS 6019 Issued in KS
Legal business name
ROBERT D. LONG DDS, PA
Practice address
11111 Nall Ave Ste 109
Leawood, KS 66211-1625
Phone
(913) 491-3353
Fax
(913) 491-1042
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Robert D Long, DDSNPI 1881755197
Title
President/Dentist
Phone
(913) 491-3353

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X KS 6019 KS Primary

Addresses

Primary practice location

11111 Nall Ave Ste 109
Leawood, KS 66211-1625

Mailing address

11111 Nall Ave Ste 109
Leawood, KS 66211-1625
Phone (913) 491-3353

National Provider Directory

National Provider Directory

Locations

11111 Nall Ave
Ste 109
Leawood, KS 66211
Phone (913) 491-3353

Practitioners & affiliated clinicians

Practitioners 1

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": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1780043018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE STE 109",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111625",
            "telephone_number": "913-491-3353",
            "fax_number": "913-491-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE STE 109",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111625",
            "telephone_number": "913-491-3353",
            "fax_number": "913-491-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. LONG DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "913-491-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "KS 6019",
            "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 Feb 15, 2016; 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.