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PERIODONTAL SPECIALIST PA
NPI 1497770200
Dentist - Periodontics in Leawood, KS

Active since July 13, 2006
11401 NALL AVENUE, LEAWOOD, KS 66211(913) 663-4867 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Periodontal Specialist Pa NPPES

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

PERIODONTAL SPECIALIST PA (NPI 1497770200) is a healthcare organization registered as a periodontics in Leawood, Kansas and active in the NPI registry since July 2006. The organization lists Daniel Thomas, Owner/periodontist, as its authorized official.

NPPES Registry Identity

NPI1497770200
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL SPECIALIST PA
Location Address11401 NALL AVENUELeawood, KS 66211-1674
Mailing Address11401 Nall AvenueLeawood, KS 66211-1674 · (913) 663-4867
Phone(913) 663-4867
Organization SubpartNo
Authorized OfficialDaniel ThomasOwner/periodontist · (913) 663-4867
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 17, 2008
✔ NPI 1497770200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
11401 NALL AVENUE, Leawood, KS 66211
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

METROPOLITIAN SURGICAL ASSOCIATES, PA
Surgery
11401 NALL AVENUE, SUITE 216
LEAWOOD, KS 66211
Johnson County (913) 541-3240
PEDIATRIC SPECIALIST PA
Dentist (Pediatric Dentistry)
11401 NALL AVENUE
LEAWOOD, KS 66211
Johnson County (913) 649-5437

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 Periodontal Specialist PA's NPI number?

The NPI number for Periodontal Specialist PA is 1497770200. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Periodontal Specialist PA located?

Periodontal Specialist PA is located at 11401 Nall Avenue, Leawood, KS 66211. The listed phone number is (913) 663-4867.

What is Periodontal Specialist PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Periodontal Specialist PA accept?

Health plans from UnitedHealthcare list Periodontal Specialist PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Periodontal Specialist PA was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.