DR. LON ROLAND TRACY (NPI# 1073853586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073853586 |
| Entity Type | Individual |
| Full Name | DR. LON ROLAND TRACY |
| Credential | DDS |
| Practice Address |
300 S. Independence Street Harrisonville MO 64701 |
| Mailing Address |
P.o. Box 549 Harrisonville MO 64701 |
| Practice Telephone | 8163806000 |
| Practice Fax Number | 8163806000 |
| Mailing Telephone | 8163806000 |
| Mailing Fax Number | 8163806000 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 014713 | MO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14713 | MO | Dental Providers |
| Street Address |
300 S. INDEPENDENCE STREET |
| City | HARRISONVILLE |
| State | MO |
| Zip Code | 64701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1457999443 | Stephanie Herndon | Counselor | 316 S. Independence Street, Harrisonville, MO 64701 | 2019-12-20 |
| 1972154300 | Amanda Wilkes | Counselor | 105c W Wall St, Harrisonville, MO 64701 | 2019-09-26 |
| 1740762806 | John Curtis Burton | Optometrist | 2100 E. Mechanic Street, Harrisonville, MO 64701 | 2018-09-05 |
| 1629595368 | Megan Elizabeth Griffin | Speech-Language Pathologist | 503 S. Lexington St, Harrisonville, MO 64701 | 2017-08-24 |
| 1932491396 | Leesa Bowman | Occupational Therapist | 2001 Jefferson Pkwy, Harrisonville, MO 64701 | 2011-05-04 |
| 1952543894 | Sarah Sharp | Chiropractor | 207 E Wall St., Harrisonville, MO 64701 | 2009-03-24 |
| 1386833788 | Elaine Boyd | Nurse Practitioner | 300 Galaxie Ave., Harrisonville, MO 64701 | 2007-10-22 |
| 1093920639 | Serc of Harrisonville, L.L.C. | Durable Medical Equipment & Medical Supplies | 815 Westchester Avenue, Harrisonville, MO 64701 | 2007-05-14 |
| 1104948074 | Dream Makers Inc | Day Training, Developmentally Disabled Services | 703 S Independence, Harrisonville, MO 64701 | 2007-04-04 |
| Find all providers in zip 64701 | ||||
| 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 |
|---|---|---|---|---|
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1215231360 | Custom Dental of Harrisonville, Pllc | Dentist | 2100 N 291 Hwy, Harrisonville, MO 64701-1226 | 2011-01-04 |
| 1528107711 | Francis X. Matthews | Dentist | 404 Galaxie Ave, Harrisonville, MO 64701-2077 | 2007-02-05 |
| 1366527806 | John Kirtus Tarwater | Dentist | 302 E Wall St, Harrisonville, MO 64701-2490 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| 1134744477 | Ly Nguyen | Dentist | 501 S Madison St Ste P, Webb City, MO 64870-2426 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
| City | HARRISONVILLE |
| Zip Code | 64701 |
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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.