MEGAN JENISCH (NPI# 1033671664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033671664 |
| Entity Type | Individual |
| Full Name | MEGAN JENISCH |
| Credential | DDS |
| Practice Address |
5601 Ne Antioch Rd Ste 5 Gladstone MO 64119-2375 |
| Mailing Address |
7680 Rainbow Dr Prairie Village KS 66208-3655 |
| Practice Telephone | 8164551200 |
| Mailing Telephone | 4178444425 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2018017548 | MO | Dental Providers |
| Street Address |
5601 NE ANTIOCH RD STE 5 |
| City | GLADSTONE |
| State | MO |
| Zip Code | 64119-2375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1528525219 | Lifestreams, LLC | Home Health | 5229 Ne 56th Place, Kansas City, MO 64119 | 2019-02-28 |
| 1740639798 | Daniel Sucher | Dentist | 5416 Ne Antioch Rd, Kansas City, MO 64119 | 2016-06-10 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1376929976 | Abigail Blair | Physical Therapist | 8121 Ne 69 Highway, Kansas City, MO 64119 | 2015-08-05 |
| 1508273939 | Morgan Shockey | Dentist | 244 E Us Hwy 69, Ste 101, Claycomo, MO 64119 | 2014-07-17 |
| 1184865990 | Laura F Hanna | Psychologist | 3100 Ne 83rd Street, Suite#1001, Kansas City, MO 64119 | 2009-03-09 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1356533194 | Levelup Kids, Inc. | Optometrist | 5416 Ne Antioch Road, Kansas City, MO 64119 | 2007-08-15 |
| 1275738932 | Renee Christine Springer | Physical Therapist | 2901 Ne 72nd St, Gladstone, MO 64119 | 2007-06-20 |
| Find all providers in zip 64119 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1043623044 | Alan C Fashion | Dentist | 2727 Ne Brooktree Ln, Gladstone, MO 64119-1833 | 2014-06-06 |
| 1104197060 | Scott Timothy Melton | Dentist | 6000 N Oak Trfy Ste 304, Gladstone, MO 64118-5176 | 2012-01-24 |
| 1215235148 | Dennis Thomas Adair | Dentist | 15 82nd Dr, Suite 240, Gladstone, OR 97027-2541 | 2011-03-01 |
| 1104088756 | Dennis T. Adair D.m.d., P.C. | Dentist | 15 82nd Dr Ste 240, Gladstone, OR 97027-2558 | 2008-06-25 |
| 1033379581 | John Reese Graue II | Dentist | 6301 N Oak Trfy Ste 202, Gladstone, MO 64118-4752 | 2008-06-09 |
| 1194912949 | Alan C Fashion, D.d.s., PC | Dentist | 2727 Ne Brooktree Lane, Gladstone, MO 64119-1833 | 2007-09-26 |
| 1427187764 | Bernard Dean Bos | Dentist | 19230 Mcloughlin Blvd, Gladstone, OR 97027-2625 | 2007-03-04 |
| 1821135351 | Stephan Ahmad Ameryun | Dentist | 200 Nw 72nd St, Gladstone, MO 64118-1820 | 2007-02-01 |
| 1740326966 | Robert W. Rechtien Jr. | Dentist | 6712 N Oak Trfy, Gladstone, MO 64118-3345 | 2007-01-29 |
| Find all providers in GLADSTONE | ||||
Please comment or provide details below to improve the information on MEGAN JENISCH.
| 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.