KANSAS CITY KANSAS DENTAL PROFESSIONALS PA (NPI# 1013146547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013146547 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY KANSAS DENTAL PROFESSIONALS PA |
| Practice Address |
753 State Ave Kansas City KS 66101-2516 |
| Practice Telephone | 9133214385 |
| Mailing Telephone | 9133214385 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Authorized Official Name | DR. CAROL J JONES (PRESIDENT) |
| Authorized Official Telephone | 9133214385 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
60337 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 1841288974 | 05 | |
| KS | 1407988710 | 05 |
| Street Address |
753 STATE AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66101-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605168 | Miralda G Moreno | Dentist | 753 State Ave, Suite 375, Kansas City, KS 66101-2516 | 2005-08-10 |
| 1174837751 | Stephanie Lynn Prusa | Dental Hygienist | 753 State Ave, Kansas City, KS 66101-2516 | 2010-08-05 |
| 1710203187 | Payne, Hogan & Associates | Social Worker | 753 State Ave, Suite 660, Kansas City, KS 66101-2516 | 2010-04-10 |
| 1023277431 | Moreno Family Dentistry | Dentist | 753 State Ave, Ste 375, Kansas City, KS 66101-2516 | 2008-06-02 |
| 1932238490 | Jacqueline Anita Hogan | Social Worker | 753 State Ave, Suite 660, Kansas City, KS 66101-2516 | 2007-03-02 |
| 1114028578 | Kansas City Kansas Dental Associates Pa | Dentist | 753 State Ave, Ste 665, Kansas City, KS 66101-2516 | 2006-09-26 |
| 1003806191 | Tommy Rose | Dentist | 753 State Ave, Ste 402, Kansas City, KS 66101-2516 | 2005-10-28 |
| 1912990581 | Thomas Arthur Jones | Dentist | 753 State Ave, Kansas City, KS 66101-2518 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984336 | Nicole Konrade | Occupational Therapist | 818 Ann Ave, Kansas City, KS 66101 | 2020-05-27 |
| 1639675119 | Teah Rae Strickland | Private Vehicle | 2103 N 7th St, Kansas City, KS 66101 | 2018-04-03 |
| 1629320320 | Elizabeth Jane Johnson | Speech-Language Pathologist | 1119 N. 5th St., Kansas City, KS 66101 | 2012-10-05 |
| 1720118110 | Promohispano Inc. | Technician/Technologist | 825 N 7th St, Suite 101, Kansas City, KS 66101 | 2007-03-06 |
| 1811042534 | Sunflower Adult Daycare Inc | Clinic/Center | 1109 N 5th, Kansas City, KS 66101 | 2007-01-24 |
| 1730178195 | Joe M. Herrera | Dentist | 701 Washington Blvd., Kansas City, KS 66101 | 2005-10-18 |
| 1558723031 | Garnetta King | Counselor | 803 Armstrong Ave, Associated Youth Services, Kansas City, KS 66101 | 2016-03-24 |
| 1447666110 | Jill Denise Coleman | Registered Nurse | 619 Ann Ave, Kansas City, KS 66101 | 2014-07-02 |
| 1629313192 | Leslie Marie Layton | Chiropractor | 300 N 7th St, Kansas City, KS 66101 | 2012-12-10 |
| 1457735185 | Jamie Adams | Registered Nurse | 924 Manorcrest Dr, Kansas City, KS 66101-1139 | 2015-07-13 |
| Find all providers in zip 66101 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1144784711 | Tmj and Sleep Therapy Centre of Kansas City | Clinic/Center | 1236 W 103rd St, Kansas City, MO 64114-4513 | 2019-01-28 |
| 1891201885 | Darren M Perry | Clinic/Center | 800 W 47th St Ste 515, Kansas City, MO 64112-1247 | 2017-12-28 |
| 1356850473 | Sih Mokan, P.C. | Clinic/Center | 803 W 48th St Apt 404, Kansas City, MO 64112-1859 | 2017-09-20 |
| 1942733571 | Pediatric Smiles, LLC | Clinic/Center | 8672 Ne Flintlock Rd, Kansas City, MO 64157-1087 | 2017-04-11 |
| 1619583895 | Red Bridge Family Dental | Clinic/Center | 400 E Red Bridge Rd Ste 321, Kansas City, MO 64131-4031 | 2020-09-22 |
| 1710599287 | River Market Dental LLC | Clinic/Center | 317 Delaware St, Kansas City, MO 64105-1215 | 2020-08-17 |
| 1760093892 | Westport Family Dental, LLC | Clinic/Center | 104 Archibald St, Kansas City, MO 64111-2230 | 2020-08-12 |
| 1275141970 | Murphy and Associates Dental, LLP | Clinic/Center | 411 Nichols Rd Ste 200, Kansas City, MO 64112-2015 | 2020-07-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66101 |
Please comment or provide details below to improve the information on KANSAS CITY KANSAS DENTAL PROFESSIONALS PA.
| 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.