NPIMap

Organization Active NPI

Village Modern Dentistry, PA

  • Dentist
  • Prairie Village, KS
National Provider Identifier
1780195768
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VILLAGE MODERN DENTISTRY, PA
Practice address
7501 Mission Rd Ste 102
Prairie Village, KS 66208-4217
Phone
(913) 601-5016
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Nicholas P Bell
Title
DDS/Owner
Phone
(913) 601-5016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7501 Mission Rd Ste 102
Prairie Village, KS 66208-4217

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626

Other names 1

  • Village Modern Dentistry Doing business as

National Provider Directory

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": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1780195768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 MISSION RD STE 102",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084217",
            "telephone_number": "913-601-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE MODERN DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "913-601-5016"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.