OrganizationActive
Country Club Dental PA
NPI 1699137109 · General Practice Dentistry · Topeka, KS
Country Club Dental PA is a General Practice Dentistry organization in Topeka, KS (NPI 1699137109).
Provider details
- NPI number
- 1699137109
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shaun Urbanozo, Credentialing Manager(719) 323-2362
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
400 Sw 29th St
Suite M
Topeka, KS 66611-1164
Phone: (785) 783-5981
Fax: (785) 783-5982
Street-level locationGet directions
Mailing address
2221 E Bijou St
Colorado Springs, CO 80909-8009
Other names (DBA / former)
- Doing business as
- Adventure Dental and Vision
- Doing business as
- Adventure Dental and Vision
Registry dates
- Enumerated
- 2016-03-23
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Country Club Dental PA's NPI number?
- Country Club Dental PA's National Provider Identifier (NPI) is 1699137109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club Dental PA?
- Country Club Dental PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Country Club Dental PA located?
- Country Club Dental PA's practice location on file with NPPES is 400 Sw 29th St, Topeka, KS 66611-1164.
- What is Country Club Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Country Club Dental PA is (785) 783-5981.
- Who is the authorized official for Country Club Dental PA?
- The authorized official listed on Country Club Dental PA's NPPES record is Shaun Urbanozo, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club Dental PA's NPI active?
- Yes — Country Club Dental PA's NPI (1699137109) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.