PEDIATRIC SPECIALIST PA
NPI 1619992419
Dentist - Pediatric Dentistry in Leawood, KS

Active since July 13, 2006
11401 NALL AVENUE, LEAWOOD, KS 66211(913) 649-5437 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Specialist Pa NPPES

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

PEDIATRIC SPECIALIST PA (NPI 1619992419) is a healthcare organization registered as a pediatric dentistry in Leawood, Kansas and active in the NPI registry since July 2006. The organization lists Donna Thomas, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1619992419
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC SPECIALIST PA
Location Address11401 NALL AVENUELeawood, KS 66211-1674
Mailing Address11401 Nall AveLeawood, KS 66211-1893 · (913) 649-5437
Organization SubpartNo
Authorized OfficialDonna ThomasOwner/dentist · (913) 649-5437
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 17, 2008
NPI 1619992419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11401 NALL AVENUE, Leawood, KS 66211

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

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.

Surgery
11401 NALL AVENUE, SUITE 216
LEAWOOD, KS 66211
Dentist (Periodontics)
11401 NALL AVENUE
LEAWOOD, KS 66211

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 Pediatric Specialist PA's NPI number?

The NPI number for Pediatric Specialist PA is 1619992419. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Pediatric Specialist PA located?

Pediatric Specialist PA is located at 11401 Nall Avenue, Leawood, KS 66211. The listed phone number is (913) 649-5437.

What is Pediatric Specialist PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Specialist PA accept?

Health plans from UnitedHealthcare list Pediatric 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 Pediatric 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.