Topeka Pediatric Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TOPEKA PEDIATRIC DENTISTRY LLC

Practice address

2445 SW Wanamaker Rd Ste 103
Topeka, KS 66614-5470

Phone

(785) 691-5223

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kelli Henderson, DDS

Title

Member

Phone

(785) 691-5223

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1871016089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 6TH ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494129",
            "telephone_number": "785-691-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 SW WANAMAKER RD STE 103",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145470",
            "telephone_number": "785-691-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPEKA PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "785-691-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Topeka Operations Assoc LLC
• Topeka Operations Co LLC
• Topeka Oral Surgery
• Topeka Pathology Group LLC
• Topeka Pathology Group PA
• Topeka Pediatrics
• Topeka Physician Group, LLC
• Topeka Physician Group, LLC
• Topeka Prodental
• Topeka Public Schools Usd 501

• Dental Clinic/Center in Topeka, KS
• Providers in Topeka, 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 Jul 24, 2017; 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.