NPIMap

Organization Active NPI

Jeffrey Waterhouse DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Goodland, KS
National Provider Identifier
1881999142
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
60697 Issued in KS
Legal business name
JEFFREY WATERHOUSE DDS MS PC
Practice address
1014 Main St
Goodland, KS 67735-2943
Phone
(785) 899-3025
Fax
(785) 899-3025
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Jeffrey David Waterhouse, D.D.S., M.S.NPI 1194032920
Title
Owner
Phone
(303) 927-6945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 60697 KS Primary

Addresses

Primary practice location

1014 Main St
Goodland, KS 67735-2943

Mailing address

1014 Main St
Goodland, KS 67735-2943
Phone (785) 899-3025

National Provider Directory

National Provider Directory

Locations

1014 Main Ave
Goodland, KS 67735
Phone (785) 899-3025

Practitioners & affiliated clinicians

Practitioners 1

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": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1881999142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MAIN ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677352943",
            "telephone_number": "785-899-3025",
            "fax_number": "785-899-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MAIN ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677352943",
            "telephone_number": "785-899-3025",
            "fax_number": "785-899-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY WATERHOUSE DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "WATERHOUSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-927-6945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "60697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodland, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.