Active NPI
Kailah Marie Willms, DDS
- Dentist
- Lawrence, KS
National Provider Identifier
1841809449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61683
- Practice address
- 4111 W 6TH St
Lawrence, KS 66049-4609 - Phone
- (319) 961-5065
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61683 | KS | Primary |
Addresses
Primary practice location
4111 W 6TH St
Lawrence, KS 66049-4609
Mailing address
1115 Brynwood CT
Lawrence, KS 66049-7505
Phone (319) 961-5065
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61683 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Free State Dental | Current | Accepting new patients | |
| Free State Dental | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- De Soto, KS
- NPI 1912778804
-
- General Practice Dentistry
- Lawrence, KS
- NPI 1992940332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1841809449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 BRYNWOOD CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660497505",
"telephone_number": "319-961-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 W 6TH ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494609",
"telephone_number": "319-961-5065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMS",
"first_name": "KAILAH",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.