Organization Active NPI

Thomas P. Shortell DDS

  • Dental Clinic/Center
  • Mission, KS
National Provider Identifier
1932830692
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THOMAS P. SHORTELL DDS
Practice address
5930 Roe Ave Ste 200
Mission, KS 66205-3062
Phone
(913) 432-8700
Fax
(913) 273-7491
NPI assigned
Jun 22, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Dr. Thomas Shortell, DDSNPI 1518083997
Title
Owner
Phone
(913) 432-8700

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5930 Roe Ave Ste 200
Mission, KS 66205-3062

Mailing address

5930 Roe Ave Ste 200
Mission, KS 66205-3062
Phone (913) 432-8700

National Provider Directory

National Provider Directory

Locations

5930 Roe Ave
Ste 200
Mission, KS 66205
Phone (913) 432-8700

Practitioners & affiliated clinicians

Practitioners 3

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": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1932830692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 ROE AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662053062",
            "telephone_number": "913-432-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ROE AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662053062",
            "telephone_number": "913-432-8700",
            "fax_number": "913-273-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P. SHORTELL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "SHORTELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-432-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

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