NPIMap

Organization Active NPI

Sanders Family Dentistry

  • Dentist
  • Paola, KS
National Provider Identifier
1811089295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60240 Issued in KS
Legal business name
SANDERS FAMILY DENTISTRY
Practice address
28 W Peoria
Paola, KS 66071
Phone
(913) 294-9948
Fax
(913) 294-5663
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ryan Sanders, DDSNPI 1407970056
Title
Dentist Owner
Phone
(913) 294-5377

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 60240 KS Primary

Addresses

Primary practice location

28 W Peoria
Paola, KS 66071

Mailing address

28 W Peoria
Paola, KS 66071
Phone (913) 294-9948

National Provider Directory

National Provider Directory

Locations

28 W Peoria St
Paola, KS 66071
Phone (913) 294-5377

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811089295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W PEORIA",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "66071",
            "telephone_number": "913-294-9948",
            "fax_number": "913-294-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W PEORIA",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "66071",
            "telephone_number": "913-294-9948",
            "fax_number": "913-294-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "913-294-5377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • 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.