Medical Heights Dental Center, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEDICAL HEIGHTS DENTAL CENTER, PA

Practice address

100 W Ross Blvd Ste 2C
Dodge City, KS 67801-7217

Phone

(620) 225-6555

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Henrichs, DDSNPI 1316911696

Title

Owner

Phone

(620) 225-6555

Specialties & licenses 1

Addresses

Other names 1

• KELLY HENRICHS DDS Former legal business name

Locations

Practitioners 2

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.

• Kelly S Henrichs, D.D.S.

  • General Practice Dentistry
  • Dodge City, KS
  • NPI 1316911696
  NPD (past) Authorized official
• Ryan Paul Lehmkuhler, D.D.S.

  • Dentist
  • Dodge City, KS
  • NPI 1255626628
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1811542640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD STE 2C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017217",
            "telephone_number": "620-225-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD STE 2C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017217",
            "telephone_number": "620-225-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HEIGHTS DENTAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "HENRICHS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-225-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KELLY HENRICHS DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Richard Irl McFadden, DDS
• Timothy Ray McMann, DDS
• Sarah McMillan, OTA
• Sherron S McReynolds, CRNA
• Med-Trans Corporation
• Medical Heights Medical Center, PA
• Maria Evangelina Medina-Huitron, RN
• Jenish N Mehta, DDS
• Methodist Hospital Association Inc.
• Madison Elise Meyer, OTR/L

• Dental Clinic/Center in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.