Organization Active NPI

Leawood Family Dental LLC

  • General Practice Dentistry
  • Leawood, KS
National Provider Identifier
1932273364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7158 Issued in KS
Legal business name
LEAWOOD FAMILY DENTAL LLC
Practice address
11225 Nall Ave
Suite 120
Leawood, KS 66211-1669
Phone
(913) 345-1962
Fax
(913) 345-0365
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven J Walker, DDSNPI 1922101948
Title
Partner
Phone
(913) 345-1962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7158 KS Primary

Addresses

Primary practice location

11225 Nall Ave
Suite 120
Leawood, KS 66211-1669

Mailing address

11225 Nall Ave
Suite 120
Leawood, KS 66211-1669
Phone (913) 345-1962

National Provider Directory

National Provider Directory

Locations

11225 Nall Ave
Ste 120
Leawood, KS 66211
Phone (913) 345-1962

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": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932273364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 NALL AVE",
            "address_2": "SUITE 120",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-345-1962",
            "fax_number": "913-345-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 NALL AVE",
            "address_2": "SUITE 120",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111669",
            "telephone_number": "913-345-1962",
            "fax_number": "913-345-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAWOOD FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "913-345-1962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.