Organization Active NPI

Douglas J. Sjogren, D.D.S., P.a.

  • General Practice Dentistry
  • Olathe, KS
National Provider Identifier
1992956486
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DOUGLAS J. SJOGREN, D.D.S., P.A.
Practice address
13772 S Blackbob Rd
Olathe, KS 66062-1932
Phone
(913) 469-8019
Fax
(913) 469-1462
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Terri Stoner
Title
Office Manager
Phone
(913) 469-8019

Specialties & licenses 1

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

Addresses

Primary practice location

13772 S Blackbob Rd
Olathe, KS 66062-1932

Mailing address

13772 S Blackbob Rd
Olathe, KS 66062-1932
Phone (913) 469-8019

National Provider Directory

National Provider Directory

Locations

13772 S Blackbob Rd
Olathe, KS 66062
Phone (913) 469-8019

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1992956486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621932",
            "telephone_number": "913-469-8019",
            "fax_number": "913-469-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621932",
            "telephone_number": "913-469-8019",
            "fax_number": "913-469-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J. SJOGREN, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-469-8019"
    },
    "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 Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.