NPIMap

Organization Active NPI

Personalized Family Dental Care, P.a.

  • General Practice Dentistry
  • Lawrence, KS
National Provider Identifier
1962417766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6380 Issued in KS
Legal business name
PERSONALIZED FAMILY DENTAL CARE, P.A.
Practice address
10 E 9TH St
Suite C-D
Lawrence, KS 66044-2621
Phone
(785) 749-2525
Fax
(785) 749-9524
NPI assigned
Jul 30, 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. John Haskell Hay, D.D.S.NPI 1649296468
Title
Owner
Phone
(785) 749-2525

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 6380 KS Primary

Addresses

Primary practice location

10 E 9TH St
Suite C-D
Lawrence, KS 66044-2621

Mailing address

10 E 9TH St
Suite C-D
Lawrence, KS 66044-2621
Phone (785) 749-2525

Other identifiers 2

IdentifierTypeStateIssuer
1494001OtherKSUNITED CONCORDIA
1494001OtherKSDELTA DENTAL

National Provider Directory

National Provider Directory

Locations

10 E 9th St
Ste Cd
Lawrence, KS 66044
Phone (785) 749-2525

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962417766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 9TH ST",
            "address_2": "SUITE C-D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442621",
            "telephone_number": "785-749-2525",
            "fax_number": "785-749-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 9TH ST",
            "address_2": "SUITE C-D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442621",
            "telephone_number": "785-749-2525",
            "fax_number": "785-749-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED FAMILY DENTAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HASKELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-749-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1494001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "1494001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, 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.