Active NPI
Christen C Lacey, RDH, ECP III
- Dental Hygienist
- Atchison, KS
National Provider Identifier
1891128385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2736
- Practice address
- 5222 Trego Rd
Atchison, KS 66002-5108 - Phone
- (913) 367-6755
- NPI assigned
- Aug 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2736 | KS | Primary |
Addresses
Primary practice location
5222 Trego Rd
Atchison, KS 66002-5108
Mailing address
5222 Trego Rd
Atchison, KS 66002-5108
Phone (913) 367-6755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013987627 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2736 | KS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1891128385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 TREGO RD",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660025108",
"telephone_number": "913-367-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 TREGO RD",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660025108",
"telephone_number": "913-367-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEY",
"first_name": "CHRISTEN",
"middle_name": "C",
"credential": "RDH, ECP III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "KS",
"license": "2736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013987627",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.