Organization Active NPI

Lenexa Dental Group, Chartered

  • General Practice Dentistry
  • Lenexa, KS
National Provider Identifier
1982778429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KS6104 Issued in KS
Legal business name
LENEXA DENTAL GROUP, CHARTERED
Practice address
9430 Gillette St
#100
Lenexa, KS 66215-3766
Phone
(913) 888-2733
Fax
(913) 888-4224
NPI assigned
Nov 17, 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
Dennis C Ayer, DDS
Title
President
Phone
(913) 888-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X KS6104 KS Primary

Addresses

Primary practice location

9430 Gillette St
#100
Lenexa, KS 66215-3766

Mailing address

9430 Gillette St
#100
Lenexa, KS 66215-3766
Phone (913) 888-2733

National Provider Directory

National Provider Directory

Locations

9430 Gillette St
Ste 100
Lenexa, KS 66215
Phone (913) 888-2733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982778429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 GILLETTE ST",
            "address_2": "#100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153766",
            "telephone_number": "913-888-2733",
            "fax_number": "913-888-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 GILLETTE ST",
            "address_2": "#100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153766",
            "telephone_number": "913-888-2733",
            "fax_number": "913-888-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENEXA DENTAL GROUP, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-888-2733",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS6104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, 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.