Individual provider

John Dolenz, D.D.S.

General Practice Dentistry Medicare enrolled

John Dolenz, D.D.S. is a provider specialising in General Practice Dentistry in Overland Park, KS, registered under NPI 1417067349. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 11820 W 95TH ST, Overland Park, KS 66214. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11820 W 95TH ST, Overland Park, KS 66214 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
7124 KS General Practice Dentistry primary
18482 MD General Practice Dentistry

Licences are recorded in 2 states: KS, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Other (non-physician)
PAC ID
4486940095
Enrollment ID
I20160908000672

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Other (non-physician). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kansas and Maryland. The practice address on file is in Overland Park, KS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KS Kansas practice address
Licence
7124
Specialty
General Practice Dentistry
Verify with the KS board →
MD Maryland
Licence
18482
Specialty
General Practice Dentistry
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What General Practice covers

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223G0001X General Practice Dentistry General Practice 7124 KS primary
1223G0001X General Practice Dentistry General Practice 18482 MD

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417067349 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 30, 2006
Last updatedOct 24, 2025
StatusActive
Sole proprietorYes
CredentialD.D.S.
Practice address 11820 W 95TH ST
Overland Park, KS 66214
(315) 454-6000
Mailing address 817 SANTA FE ST
Atchison, KS 66002
This record was updated on Oct 24, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1417067349 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 0 6 7 3 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 0 6 5 3 8

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417067349?
NPI 1417067349 is the National Provider Identifier assigned to John Dolenz, D.D.S. in Overland Park, KS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
How do I contact John Dolenz, D.D.S.?
The phone number on file with NPPES is (315) 454-6000, last updated Oct 24, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does John Dolenz, D.D.S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417067349 a valid number?
Yes. 1417067349 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.