NPIMap

Organization Active NPI

Westport Dental LLC

  • Dental Clinic/Center
  • Topeka, KS
National Provider Identifier
1912593591
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WESTPORT DENTAL LLC
Practice address
2201 SW Westport Dr Ste 400
Topeka, KS 66614-1914
Phone
(785) 228-1280
Fax
(785) 228-1223
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Shelly Bahner
Title
Office Manager
Phone
(785) 228-1280

Specialties & licenses 1

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

Addresses

Primary practice location

2201 SW Westport Dr Ste 400
Topeka, KS 66614-1914

Mailing address

2201 SW Westport Dr Ste 400
Topeka, KS 66614-1914
Phone (785) 228-1280

Other identifiers 1

IdentifierTypeStateIssuer
1447553169OtherKSNPI TYPE I

Other names 1

  • Westport Dental LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Topeka

National Provider Directory

National Provider Directory

Locations

2201 SW Westport Dr
Ste 400
Topeka, KS 66614
Phone (785) 228-1280

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": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1912593591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SW WESTPORT DR STE 400",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141914",
            "telephone_number": "785-228-1280",
            "fax_number": "785-228-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SW WESTPORT DR STE 400",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141914",
            "telephone_number": "785-228-1280",
            "fax_number": "785-228-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "BAHNER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-228-1280"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1447553169",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Topeka",
            "affiliation": "N",
            "address_1": "2201 SW Westport Dr Ste 400",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666141914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Westport Dental LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.