NPIMap

Organization Active NPI

Free State Dental

  • General Practice Dentistry
  • Lawrence, KS
National Provider Identifier
1992940332
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FREE STATE DENTAL
Practice address
4111 W 6TH St
Lawrence, KS 66049-4609
Phone
(785) 843-2636
Fax
(785) 838-9577
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Authorized official

Name
Bradley Aaron Adams, DDSNPI 1942683313
Title
Partner
Phone
(785) 843-2636

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 Primary

Addresses

Primary practice location

4111 W 6TH St
Lawrence, KS 66049-4609

Mailing address

4111 W 6TH St Ste a
Lawrence, KS 66049-4609
Phone (785) 843-2636

National Provider Directory

National Provider Directory
Tax ID family
Free State Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1992940332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W 6TH ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494609",
            "telephone_number": "785-843-2636",
            "fax_number": "785-838-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494609",
            "telephone_number": "785-843-2636",
            "fax_number": "785-838-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE STATE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "785-843-2636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 1, 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.