Sweet Tooth Shawnee, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SWEET TOOTH SHAWNEE, LLC

Practice address

15933 W 65TH St
Shawnee, KS 66217-9342

Phone

(913) 239-0703

NPI assigned

Mar 15, 2021

Last updated

Mar 15, 2021By 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. Wayne Robert Dobbins, DDSNPI 1578978581

Title

Ceo

Phone

(480) 343-5072

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Wayne Dobbins, DDS, MS

  • Pediatric Dentistry
  • Overland Park, KS
  • NPI 1578978581
  Authorized official Same address or phone

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1881279461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342",
            "telephone_number": "913-239-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15933 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342",
            "telephone_number": "913-239-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH SHAWNEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-343-5072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Swan, DDS
• Robert B Swatek, PA
• Robin Swayne, CPHT
• Sweet Sleep Studio, LLC
• Sweet Tooth Shawnee Orthodontics, LLC
• Swickard Chiropractic Clinic of Shawnee, P.a.
• Mark Andrew Swickard, D.C.
• Rachel Swift
• Elizabeth Sykes, CREDENTIALING
• Seble Getahun Tafesse, NP

• Dental Clinic/Center in Shawnee, KS
• Providers in Shawnee, 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 Mar 15, 2021; 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.