DR. JAMES BRAD TALLY (NPI# 1093804858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093804858 |
| Entity Type | Individual |
| Full Name | DR. JAMES BRAD TALLY |
| Credential | DDS |
| Practice Address |
13650 Roe Blvd Leawood KS 66224-3757 |
| Practice Telephone | 9134915040 |
| Mailing Telephone | 9134915040 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6999 | KS | Dental Providers |
| Street Address |
13650 ROE BLVD |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66224-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386702991 | Aaron M Craig | Dentist | 13650 Roe Blvd, Leawood, KS 66224-3757 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
| 1962919324 | Nicole Marie Schroeder | Behavioral Analyst | 5420 W 151rst St., Leawood, KS 66224 | 2018-01-08 |
| 1780101097 | Lisa R. Holland | Speech-Language Pathologist | 5206 W 157th Pl, Overland Park, KS 66224 | 2017-08-28 |
| 1609322338 | Iron Horse Healthcare, Inc. | Home Health | 5401 W. 143rd Street, Leawood, KS 66224 | 2016-09-01 |
| 1184962375 | James Cochran | Counselor | 13720 Roe Ave, Leawood, KS 66224 | 2013-01-22 |
| 1265733075 | Virginia Claire Allen | Physician Assistant | 4963 W. 135th St., Leawood, KS 66224 | 2010-11-10 |
| 1184802712 | Crystal Renee Davis | Physician Assistant | 4963 W. 135th St, Leawood, KS 66224 | 2008-02-06 |
| 1639278666 | Jeffrey W Colyer | Plastic Surgery | 4940b W. 137th St, Leawood, KS 66224 | 2006-09-22 |
| 1568479772 | Robert P Sherman Jr. | Dentist | 4831 W 136th Street, Suite 200, Leawood, KS 66224 | 2006-08-01 |
| 1831165372 | Jocelyn A Wolf | Family Medicine | 5405 151st Street, Leawood, KS 66224 | 2006-02-24 |
| Find all providers in zip 66224 | ||||
| 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 |
|---|---|---|---|---|
| 1023620523 | Shibin Yu | Dentist | 13705 Manor, Leawood, KS 66224-4523 | 2020-08-18 |
| 1770192767 | Mackenzie Colson | Dentist | 5611 W 134th Ter Apt 1718, Leawood, KS 66209-4060 | 2020-07-27 |
| 1427516848 | Graham Naasz | Dentist | 4861 W 134th St Ste A, Leawood, KS 66209-7826 | 2019-03-05 |
| 1841649266 | Megan Konz | Dentist | 3400 College Blvd, Ste #203, Leawood, KS 66211-1917 | 2016-06-07 |
| 1558617282 | Asha Dental LLC | Dentist | 11100 Ash St Ste 204, Leawood, KS 66211-1764 | 2012-07-31 |
| 1033424130 | Abbie Skochdopole Mcknight | Dentist | 3400 College Blvd Ste 203, Leawood, KS 66211-1917 | 2010-08-12 |
| 1588975080 | Confident Smiles, Pa | Dentist | 14109 Overbrook Rd, Leawood, KS 66224-4516 | 2010-06-29 |
| 1689998528 | Mohn & Smiley Dental LLC | Dentist | 13430 Briar St., Leawood, KS 66209 | 2010-03-22 |
| 1891920443 | Neda Ensieh Delavari | Dentist | 13450 Roe Ave, Leawood, KS 66209-3412 | 2009-05-27 |
| 1851556187 | Kenneth F. Stewart | Dentist | 12808 Cedar St, Leawood, KS 66209-1868 | 2008-07-25 |
| Find all providers in LEAWOOD | ||||
Please comment or provide details below to improve the information on DR. JAMES BRAD TALLY.
| 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.