Organization Active NPI

Nevin K Waters DDS, PA

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1922029057
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEVIN K WATERS DDS, PA
Practice address
9948 W 87TH St
Suite K
Overland Park, KS 66212-4768
Phone
(623) 434-9343
Fax
(623) 321-6268
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Rachel Razo
Title
Credentialing
Phone
(623) 434-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9948 W 87TH St
Suite K
Overland Park, KS 66212-4768

Mailing address

1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228
Phone (623) 434-9343

National Provider Directory

National Provider Directory

Locations

9948 W 87th St
Ste K
Overland Park, KS 66212

Practitioners & affiliated clinicians

Practitioners 2

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1922029057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W PARKSIDE LN",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271228",
            "telephone_number": "623-434-9343",
            "fax_number": "623-321-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9948 W 87TH ST",
            "address_2": "SUITE K",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124768",
            "telephone_number": "623-434-9343",
            "fax_number": "623-321-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVIN K WATERS DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "RAZO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "623-434-9343"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jun 6, 2008; 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.