DR. SIMON MACNEILL


Address: 650 E 25th St, Kansas City, MO 64108-2716
Phone: 8162352119

DR. SIMON MACNEILL (NPI# 1104237809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104237809
Entity Type Individual
Full Name DR. SIMON MACNEILL
Credential DDS
Practice Address 650 E 25th St
Kansas City
MO 64108-2716
Practice Telephone 8162352119
Mailing Telephone 8162352119
Enumeration Date 2014-05-15
Last Update Date 2014-05-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
015779 MO Dental Providers

Office Location

Street Address 650 E 25TH ST
City KANSAS CITY
State MO
Zip Code 64108-2716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457354458 John William Nelson Jr. Dentist 650 E 25th St, Kansas City, MO 64108-2716 2005-05-23
1396354809 Matthew Bryant Dentist 650 E 25th St, Kansas City, MO 64108-2716 2020-07-30
1811506736 Anthony Tyler Spates Dentist 650 E 25th St, Kansas City, MO 64108-2716 2020-07-27
1487262622 Veeshesh Patel Dentist 650 E 25th St, Kansas City, MO 64108-2716 2020-07-14
1831748417 Tiffany Tavares Dentist 650 E 25th St, Kansas City, MO 64108-2716 2019-09-06
1356995690 Jordan Dempsey Student in an Organized Health Care Education/Training Program 650 E 25th St, Kansas City, MO 64108-2716 2019-07-25
1750852166 Dongdan Guo Dentist 650 E 25th St, Kansas City, MO 64108-2716 2018-12-10
1699255083 Moid N. Karwaa Dentist 650 E 25th St, Kansas City, MO 64108-2716 2018-08-15
1134605728 Benjamin Lapke Coenen Dentist 650 E 25th St, Kansas City, MO 64108-2716 2018-07-17
1386164754 Stuart Jay Rupp Dentist 650 E 25th St, Kansas City, MO 64108-2716 2017-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194345561 Diversity Telehealth, LLC Health Educator 1601 East 18th Street, 320a, Kansas City, MO 64108 2020-04-25
1447894092 Claire-louise Sophia Young Student in an Organized Health Care Education/Training Program Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 2019-11-06
1053962415 Kymberly Kline Behavior Technician Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 2019-09-26
1841854643 Mallak Ahmed Ghozlan Zatreh Student in an Organized Health Care Education/Training Program 2301 Homes Street, Kansas City, MO 64108 2019-04-26
1003470881 Sindhuja Palle Internal Medicine Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 2019-04-26
1467016253 Osama Mahmoud Okasha Internal Medicine Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 2019-04-26
1730643719 Michele D Smith Registered Nurse 2101 Charlotte Street, Urology, Kansas City, MO 64108 2019-01-24
1437640414 Omar Fayez Ahmad Abuqamar Student in an Organized Health Care Education/Training Program Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 2018-05-24
1992200190 Hannah Rebekah Hurst Student in an Organized Health Care Education/Training Program 2101 Charlotte St Ste 200, Kansas City, MO 64108 2018-03-28
1659873404 William Andrew Carroll Chiropractor 313 E. 17th St. #210, Kansas City, MO 64108 2018-03-07
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609233089 Seth Rush, D.d.s., M.s., L.L.C. Dentist 9233 Ward Pkwy Ste 330, Kansas City, MO 64114-3310 2016-01-15
1861877227 Pierluigi Balice Dentist 650 E 25th St # 277, Kansas City, MO 64108-2716 2015-07-28
1942335088 Richard S Gilman Dds Ms PC Dentist 9225 Ward Parkway Suite 104, Kansas City, MO 64114 2007-02-22
1700890332 Larry S. Jacobson, Dds, PC Dentist 6675 Holmes Rd Ste 690, Kansas City, MO 64131-1167 2006-07-28
1053791418 John Rapley Dentist 650 E 25th St, Kansas City, MO 64108-2784 2015-06-01
1548698566 Lynn Roosa Friesen Dentist 650 E 25th St, Room 101-o, Kansas City, MO 64108-2716 2013-10-30
1245671155 Mabel Leonor Salas Martinez Dentist 650 E 25th St, Kansas City, MO 64108-2716 2013-07-09
1568728194 Adam Craig Mcclellan Dentist 650 E 25th St, Kansas City, MO 64108-2716 2012-04-09
1871775437 Richard Stephen Gilman Dentist 9233 Ward Pkwy, Suite 330, Kansas City, MO 64114-3366 2007-12-05
1881813392 Jeremy J Youngblood Dentist 6301 N Oak Trfy, Suite 102, Kansas City, MO 64118-4705 2007-04-24
Find all providers in KANSAS CITY

Competitor

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City KANSAS CITY
Zip Code 64108

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Dataset Information

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.

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