Individual provider Active NPI

David H Jaeger, D.D.S.

  • General Practice Dentistry
  • Tonganoxie, KS
National Provider Identifier
1811128200
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60803 Issued in KS
Practice address
766 Northstar CT
Tonganoxie, KS 66086-8933
Phone
(913) 417-7333
Fax
(913) 417-7335
NPI assigned
Aug 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2009013222 MO
General Practice Dentistry 1223G0001X 60803 KS Primary

Addresses

Primary practice location

766 Northstar CT
Tonganoxie, KS 66086-8933

Mailing address

766 Northstar CT., PO Box 343
Tonganoxie, KS 66086
Phone (913) 417-7333

Other practice location 1

800 Walnut St
Valley Falls, KS 66088-1238
Phone (785) 945-6248

Other practice location 2

609 E Lake St
Mc Louth, KS 66054-5205
Phone (913) 796-6113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60803KSMDGeneral Practice Dentistry
2009013222MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tonganoxie Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811128200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 NORTHSTAR CT., PO BOX 343",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "66086",
            "telephone_number": "913-417-7333",
            "fax_number": "913-417-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 NORTHSTAR CT",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660868933",
            "telephone_number": "913-417-7333",
            "fax_number": "913-417-7335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Valley Falls",
            "state": "KS",
            "postal_code": "660881238",
            "country_code": "US",
            "telephone_number": "785-945-6248",
            "fax_number": "785-945-6249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 E Lake St",
            "address_purpose": "LOCATION",
            "city": "Mc Louth",
            "state": "KS",
            "postal_code": "660545205",
            "country_code": "US",
            "telephone_number": "913-796-6113",
            "fax_number": "913-796-6098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2009013222",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonganoxie, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.