Brian L Headrick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6083 Issued in KS

Practice address

120 S Fowler
Meade, KS 67864-0516

Phone

(620) 873-2802

Fax

(620) 873-5308

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 5, 2015 through Oct 5, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brian L. Headrick DDS

  • Dental Clinic/Center
  • Meade, KS
  • NPI 1376254607
  NPD (past) Authorized official

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861471880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E ELIZABETH",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350766",
            "telephone_number": "620-855-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S FOWLER",
            "city": "MEADE",
            "state": "KS",
            "postal_code": "678640516",
            "telephone_number": "620-873-2802",
            "fax_number": "620-873-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L. Headrick DDS
• Natalie Roxanne Carrillo, FNP - BC
• Harold Mark Chalker, D.C.
• Seeley Feldmeyer, MD
• Sarah Finke
• Health Watch Health Care of West KS, LLC
• Merrill Elizabeth Hoover, MSN,FNP-BC
• Bambi Lee Lane, APRN
• Stephen Douglas Lewia Jr., PA-C
• Lone Tree Retirement Community LLC

• All providers in Meade, KS
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.