Organization Active NPI

Kiene Dental Group LLC

  • General Practice Dentistry
  • Shawnee, KS
National Provider Identifier
1851482756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6285 Issued in KS
Legal business name
KIENE DENTAL GROUP LLC
Practice address
11005 W 60TH St
Ste. 240
Shawnee, KS 66203-2913
Phone
(913) 631-5622
Fax
(913) 631-9299
NPI assigned
Sep 27, 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
Cheryl Vielhauer
Title
Office Manager
Phone
(913) 631-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6285 KS Primary

Addresses

Primary practice location

11005 W 60TH St
Ste. 240
Shawnee, KS 66203-2913

Mailing address

11005 W 60TH St
Ste. 240
Shawnee, KS 66203-2913
Phone (913) 631-5622

National Provider Directory

National Provider Directory

Locations

11005 W 60th St
Ste 240
Shawnee Mission, KS 66203
Phone (913) 631-5622

Practitioners & affiliated clinicians

Practitioners 5

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851482756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 W 60TH ST",
            "address_2": "STE. 240",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032913",
            "telephone_number": "913-631-5622",
            "fax_number": "913-631-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 W 60TH ST",
            "address_2": "STE. 240",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032913",
            "telephone_number": "913-631-5622",
            "fax_number": "913-631-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIENE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIELHAUER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-631-5622"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, 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.