OrganizationActive
Periodontist PA
NPI 1104948959 · Periodontics · Overland Park, KS
Periodontist PA is a Periodontics organization in Overland Park, KS (NPI 1104948959).
Provider details
- NPI number
- 1104948959
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Stanley Wint, President(913) 451-6158
- License
- 5544 (KS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10870 Benson St
Bldg. 21 Suite 2100
Overland Park, KS 66210-1502
Phone: (913) 451-6158
Fax: (913) 451-9463
Street-level locationGet directions
Mailing address
10870 Benson St
Overland Park, KS 66210-1502
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Periodontist PA's NPI number?
- Periodontist PA's National Provider Identifier (NPI) is 1104948959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontist PA?
- Periodontist PA is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontist PA located?
- Periodontist PA's practice location on file with NPPES is 10870 Benson St, Overland Park, KS 66210-1502.
- What is Periodontist PA's phone number?
- The practice phone number listed in the NPPES registry for Periodontist PA is (913) 451-6158.
- Who is the authorized official for Periodontist PA?
- The authorized official listed on Periodontist PA's NPPES record is Stanley Wint, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontist PA's NPI active?
- Yes — Periodontist PA's NPI (1104948959) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.