DR. ALAN THIBAULT (NPI# 1003894684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003894684 |
| Entity Type | Individual |
| Full Name | DR. ALAN THIBAULT |
| Credential | D.D.S., P.A. |
| Practice Address |
3900 W Central Ave Ste 100 Wichita KS 67203-4928 |
| Mailing Address |
4316 S Halstead Rd Halstead KS 67056-9288 |
| Practice Telephone | 3166161310 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6292 | KS | Dental Providers |
| Street Address |
3900 W CENTRAL AVE STE 100 |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013203728 | Andre Thibault, Dds, Pa | Dentist | 3900 W Central Ave, Suite 100, Wichita, KS 67203-4928 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417476847 | Hillside Endodontics LLC | Dentist | 215 S. Hillside, Wichita, KS 67211-2128 | 2017-09-18 |
| 1568890515 | Perry Endodontics LLC | Dentist | 215 S Hillside St, Wichita, KS 67211-2128 | 2013-10-29 |
| 1255526091 | Professional Endodontics | Dentist | 7570 W 21st St N Ste 1042b, Wichita, KS 67205-1763 | 2007-09-13 |
| 1487871208 | Donald R Mayer | Dentist | 215 S Hillside, Wichita, KS 67211-2128 | 2007-04-20 |
| 1972697019 | Craig Frank Hoffmann | Dentist | 3535 E Central Ave, Wichita, KS 67208-3231 | 2006-10-03 |
| 1326564188 | Wichita Endodontics LLC | Dentist | 3535 E Central Ave, Wichita, KS 67208-3231 | 2017-08-14 |
| 1013203728 | Andre Thibault, Dds, Pa | Dentist | 3900 W Central Ave, Suite 100, Wichita, KS 67203-4928 | 2011-06-21 |
| 1598982225 | Donald R Mayer, D.d.s., P.a. | Dentist | 215 S Hillside, Wichita, KS 67211-2128 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185748 | Anthony A Altomare | Dentist | 11409 Ash St Ste A, Leawood, KS 66211-1753 | 2017-06-28 |
| 1073045902 | Amy Linn Vermeer | Dentist | 4601 W 109th St Ste 250, Overland Park, KS 66211-1314 | 2017-03-30 |
| 1114475324 | Jeffrey R Burroughs Dds LLC | Dentist | 5525 W 119th St Ste 215, Overland Park, KS 66209-3724 | 2016-09-16 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1760703425 | Adam John Retallick | Dentist | 333 S Seth Child Rd, Manhattan, KS 66502-3003 | 2010-06-17 |
| 1194049940 | Topeka Endodontics | Dentist | 6231 Sw 29th St Ste 300, Topeka, KS 66614-4684 | 2010-03-23 |
| 1548424799 | Christopher Gene Budig | Dentist | 13340 Metcalf Ave, Overland Park, KS 66213-2804 | 2008-07-16 |
| 1538374616 | Daniel Richard Loftus | Dentist | 2501 Canterbury Dr, Hays, KS 67601-2296 | 2007-05-11 |
| 1649482290 | Hillsboro Dental Care LLC | Dentist | 119 E Grand, Hillsboro, KS 67063 | 2007-05-04 |
| 1699827360 | Brian Lee Kynaston | Dentist | 700 N Maple, Mcpherson, KS 67460 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.