Organization Active NPI

John D. Alderman DDS PA

  • Dentist
  • Council Grove, KS
National Provider Identifier
1972849867
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6319 Issued in KS
Legal business name
JOHN D. ALDERMAN DDS PA
Practice address
111 W Main St
Council Grove, KS 66846-1702
Phone
(620) 767-6744
Fax
(620) 767-6744
NPI assigned
Dec 20, 2012
Last updated
Dec 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. John Donald Alderman, DDSNPI 1477555803
Title
President
Phone
(620) 767-6744

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
Dentist 122300000X 6319 KS Primary

Addresses

Primary practice location

111 W Main St
Council Grove, KS 66846-1702

Mailing address

111 W Main St
Council Grove, KS 66846-1702
Phone (620) 767-6744

Other identifiers 1

IdentifierTypeStateIssuer
100223330AMedicaidKS

National Provider Directory

National Provider Directory

Locations

111 W Main St
Council Grove, KS 66846
Phone (620) 767-6744

Practitioners & affiliated clinicians

Practitioners 1

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": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1972849867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461702",
            "telephone_number": "620-767-6744",
            "fax_number": "620-767-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461702",
            "telephone_number": "620-767-6744",
            "fax_number": "620-767-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. ALDERMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "ALDERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-767-6744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100223330A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Grove, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.