MEDICARE: DR. KURTIS EDWARD ECHOLS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	60166	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34501016	OTHER	MO	BCBS KC
2	392598	OTHER	KS	BCBS
3	01645101	OTHER		UNITED CONCORDIA

General Provider Information

NPI Number	:	1376539486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURTIS EDWARD ECHOLS DDS

Provider Business Mailing Address
First Line	:	407 S CLAIRBORNE RD STE 104
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1744
Country	:	US
Telephone Number	:	913-648-2266
Fax Number	:	855-348-3430

Provider Business Practice Location Address
First Line	:	407 S CLAIRBORNE RD STE 104
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1744
Country	:	US
Telephone Number	:	913-648-2266
Fax Number	:	855-348-3430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	03/31/2026

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