Organization Active NPI

Marysville Dental Care LLC

  • Dental Clinic/Center
  • Marysville, KS
National Provider Identifier
1912435389
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5353 Issued in KS
Legal business name
MARYSVILLE DENTAL CARE LLC
Practice address
1200 Broadway
Marysville, KS 66508-1819
Phone
(785) 562-5529
NPI assigned
May 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cheri Hamel
Title
Office Manager
Phone
(785) 562-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5353 KS Primary

Addresses

Primary practice location

1200 Broadway
Marysville, KS 66508-1819

Mailing address

1200 Broadway
Marysville, KS 66508-1819
Phone (785) 562-5529

National Provider Directory

National Provider Directory

Locations

1200 Broadway
Marysville, KS 66508
Phone (785) 562-5482

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912435389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROADWAY",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081819",
            "telephone_number": "785-562-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROADWAY",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081819",
            "telephone_number": "785-562-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMEL",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-562-5529"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "5353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.