Active NPI
Dale L Cipra, D.D.S.
- Prosthodontics
- Overland Park, KS
National Provider Identifier
1902013949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 7096
- Practice address
- 10925 Antioch Rd
Suite 201
Overland Park, KS 66210-2109 - Phone
- (913) 498-9595
- Fax
- (913) 498-9696
- NPI assigned
- May 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 7096 | KS | Primary |
Addresses
Primary practice location
10925 Antioch Rd
Suite 201
Overland Park, KS 66210-2109
Mailing address
10925 Antioch Rd
Suite 201
Overland Park, KS 66210-2109
Phone (913) 498-9595
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 |
|---|---|---|---|
| 7096 | KS | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902013949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10925 ANTIOCH RD",
"address_2": "SUITE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102109",
"telephone_number": "913-498-9595",
"fax_number": "913-498-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10925 ANTIOCH RD",
"address_2": "SUITE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102109",
"telephone_number": "913-498-9595",
"fax_number": "913-498-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIPRA",
"first_name": "DALE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "KS",
"license": "7096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.