Organization Active NPI

Personalized Family Dental Care of Topeka, P.a.

  • General Practice Dentistry
  • Topeka, KS
National Provider Identifier
1801216395
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PERSONALIZED FAMILY DENTAL CARE OF TOPEKA, P.A.
Practice address
2215 SW Westport Dr
Topeka, KS 66614-1926
Phone
(785) 228-0100
Fax
(785) 228-1569
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Marvin Heinbach, D.D.S.NPI 1891711610
Title
President
Phone
(785) 749-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2215 SW Westport Dr
Topeka, KS 66614-1926

Mailing address

2215 SW Westport Dr
Topeka, KS 66614-1926
Phone (785) 228-0100

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1801216395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SW WESTPORT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141926",
            "telephone_number": "785-228-0100",
            "fax_number": "785-228-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SW WESTPORT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141926",
            "telephone_number": "785-228-0100",
            "fax_number": "785-228-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED FAMILY DENTAL CARE OF TOPEKA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "HEINBACH",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-749-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.