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KANSAS CITY KANSAS DENTAL ASSOCIATES PA
NPI 1114028578
Dentist - General Practice in Kansas City, KS

Active since September 26, 2006
753 STATE AVE, STE 665, KANSAS CITY, KS 66101(913) 321-4385(913) 321-4037 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kansas City Kansas Dental Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANSAS CITY KANSAS DENTAL ASSOCIATES PA (NPI 1114028578) is a healthcare organization registered as a general practice in Kansas City, Kansas and active in the NPI registry since September 2006. The organization lists Jan M Carlson, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1114028578
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKANSAS CITY KANSAS DENTAL ASSOCIATES PA
Location Address753 STATE AVE, STE 665Kansas City, KS 66101-2516
Mailing Address753 State Ave, Ste 665Kansas City, KS 66101-2516 · (913) 321-4385 · Fax (913) 321-4037
Phone(913) 321-4385
Fax(913) 321-4037
Organization SubpartNo
Authorized OfficialJan M CarlsonOffice Administrator · (913) 321-4385
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114028578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 7128
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
753 STATE AVE, Kansas City, KS 66101
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOMMY ROSE DDS
Dentist
753 STATE AVE, STE 402
KANSAS CITY, KS 66101
Wyandotte County (913) 321-3999
KANSAS CITY KANSAS DENTAL PROFESSIONALS PA
Clinic/Center (Dental)
753 STATE AVE
KANSAS CITY, KS 66101
Wyandotte County (913) 321-4385
MORENO FAMILY DENTISTRY
Dentist
753 STATE AVE, STE 375
KANSAS CITY, KS 66101
Wyandotte County (913) 647-1900
MRS. STEPHANIE LYNN PRUSA DENTAL HYGIENIST
Dental Hygienist
753 STATE AVE
KANSAS CITY, KS 66101
Wyandotte County (913) 321-4385
PAYNE, HOGAN & ASSOCIATES
Social Worker (Clinical)
753 STATE AVE, SUITE 660
KANSAS CITY, KS 66101
Wyandotte County (913) 244-8443
JACQUELINE ANITA HOGAN LSCSW,LCSW
Social Worker (Clinical)
753 STATE AVE, SUITE 660
KANSAS CITY, KS 66101
Wyandotte County (913) 244-8443
DR. MIRALDA G MORENO DDS
Dentist
753 STATE AVE, SUITE 375
KANSAS CITY, KS 66101
Wyandotte County (913) 647-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kansas City Kansas Dental Associates PA's NPI number?

The NPI number for Kansas City Kansas Dental Associates PA is 1114028578. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Kansas City Kansas Dental Associates PA located?

Kansas City Kansas Dental Associates PA is located at 753 State Ave Ste 665, Kansas City, KS 66101. The listed phone number is (913) 321-4385.

What is Kansas City Kansas Dental Associates PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kansas City Kansas Dental Associates PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.