Organization Active NPI

Genmat Op, PA

  • Dental Clinic/Center
  • Overland Park, KS
National Provider Identifier
1972080588
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61292 Issued in KS
Legal business name
GENMAT OP, PA
Practice address
11044 Quivira Rd
Overland Park, KS 66210-1239
Phone
(913) 469-8010
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dr. Mathew H Draper, DDS
Title
Owner
Phone
(385) 215-6097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 61292 KS Primary

Addresses

Primary practice location

11044 Quivira Rd
Overland Park, KS 66210-1239

Mailing address

12180 S 300 E Unit 270
Draper, UT 84020-2612
Phone (913) 469-8010

National Provider Directory

National Provider Directory

Locations

12180 S 300 E
Unit 270
Draper, UT 84020

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": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1972080588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 S 300 E UNIT 270",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202612",
            "telephone_number": "913-469-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11044 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101239",
            "telephone_number": "913-469-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENMAT OP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-215-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "61292",
            "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 Mar 26, 2024; 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.