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PERIODONTAL CARE, P.A.
NPI 1558883181
Dentist - Periodontics in Prairie Village, KS

Active since July 14, 2017
5000 W 95TH ST STE 270, PRAIRIE VILLAGE, KS 66207(913) 341-4141(913) 341-4432 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jul 14, 2017 (2 updates tracked since 2017).

About Periodontal Care, P.a. NPPES

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

PERIODONTAL CARE, P.A. (NPI 1558883181) is a healthcare organization registered as a periodontics in Prairie Village, Kansas and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Kansas City and lists Anne E Peterson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1558883181
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL CARE, P.A.
Location Address5000 W 95TH ST STE 270Prairie Village, KS 66207-3300
Mailing Address5000 W 95th St Ste 270Prairie Village, KS 66207-3300 · (913) 341-4141 · Fax (913) 341-4432
Phone(913) 341-4141
Fax(913) 341-4432
Organization SubpartNo
Authorized OfficialAnne E PetersonBusiness Manager · (913) 681-8100
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1558883181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MO · 2010016137
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.
5000 W 95TH ST STE 270, Prairie Village, KS 66207
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Secondary Practice Location 1

Location 15707 NW 64th TerKansas City, MO 64151-2382 · Phone (816) 741-3830 · Fax (816) 741-2693

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

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

STEPHANIE MARISA SHELBY
Dentist (Periodontics)
5000 W 95TH ST STE 270
PRAIRIE VILLAGE, KS 66207
Johnson County (913) 341-4141

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 Care, P.A.'s NPI number?

The NPI number for Periodontal Care, P.A. is 1558883181. It was assigned to this organization in the NPPES registry on July 14, 2017.

Where is Periodontal Care, P.A. located?

Periodontal Care, P.A. is located at 5000 W 95th St Ste 270, Prairie Village, KS 66207. The listed phone number is (913) 341-4141.

What is Periodontal Care, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Periodontal Care, P.A. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.