JACK G OKERSTROM DDS, PA
NPI 1295846947
Dentist - Orthodontics and Dentofacial Orthopedics in Prairie Village, KS

Active since August 31, 2006
4026 W. 83RD ST, PRAIRIE VILLAGE, KS 66208(913) 469-9191(913) 451-2251 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack G Okerstrom Dds, Pa NPPES

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

JACK G OKERSTROM DDS, PA (NPI 1295846947) is an individual orthodontics and dentofacial orthopedics provider in Prairie Village, Kansas, licensed in Kansas (KS52000) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1295846947
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJACK G OKERSTROMCredential: DDS, PA
Location Address4026 W. 83RD STPrairie Village, KS 66208
Mailing Address11940 Quivira RdOverland Park, KS 66213 · (913) 469-9191 · Fax (913) 451-2251
Fax(913) 451-2251
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 19, 2013
NPI 1295846947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in KS · KS52000
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4026 W. 83RD ST, Prairie Village, KS 66208

Other Identifiers 1

Medicaid284782KS

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 Jack Okerstrom's NPI number?

The NPI number for Jack Okerstrom is 1295846947. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jack Okerstrom located?

Jack Okerstrom practices at 4026 W. 83rd St, Prairie Village, KS 66208. The listed phone number is (913) 469-9191.

What is Jack Okerstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Jack Okerstrom was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.