Organization Active NPI

Safder Endodontics LLC

  • Endodontics
  • Prairie Village, KS
National Provider Identifier
1790553360
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SAFDER ENDODONTICS LLC
Practice address
4121 W 83Rd St Ste 216
Prairie Village, KS 66208-5323
Phone
(913) 206-2758
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Mansoor B Safder, DDS, MSDNPI 1144838590
Title
Owner Dentist
Phone
(913) 206-2758

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
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

4121 W 83Rd St Ste 216
Prairie Village, KS 66208-5323

Mailing address

4121 W 83Rd St Ste 216
Prairie Village, KS 66208-5323
Phone (913) 206-2758

National Provider Directory

National Provider Directory

Locations

4121 W 83rd St
Ste 216
Prairie Village, KS 66208
Phone (913) 206-2758

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": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1790553360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST STE 216",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085323",
            "telephone_number": "913-206-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST STE 216",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085323",
            "telephone_number": "913-206-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFDER ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "SAFDER",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "913-206-2758",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 13, 2023; 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.