MRS. ANGELA MARIE SULLIVAN (NPI# 1154586220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154586220 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA MARIE SULLIVAN |
| Credential | DDS |
| Practice Address |
4701 Logan Ave Kansas City MO 64136-1161 |
| Mailing Address |
4606 Cambridge St Kansas City KS 66103-3525 |
| Practice Telephone | 8163501007 |
| Practice Fax Number | 8163501975 |
| Mailing Telephone | 8165361481 |
| Mailing Fax Number | 9134320533 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2008014160 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073980116 | Angela Christine Sullivan | Speech-Language Pathologist | 124 Channel Dr, Lake Mary, FL 32746-2724 | 2015-08-24 |
| 1083027304 | Angela Sullivan | Registered Nurse | 500 S University Ave Ste 505, Little Rock, AR 72205-5307 | 2014-06-04 |
| 1396720835 | Angela L Sullivan | Chiropractor | 110 Columbia Point Dr, Richland, WA 99352-4387 | 2005-12-07 |
| 1558710145 | Angela Sullivan | Case Manager/Care Coordinator | 11 Chesley St, Concord, NH 03301-3760 | 2016-06-06 |
| 1598157984 | Angela Sullivan | Speech-Language Pathologist | 6960 Destiny Dr, Suite 112, Rocklin, CA 95677-2993 | 2015-02-23 |
| 1811326309 | Angela Sullivan | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-11-05 |
| 1396917076 | Angela Renea Sullivan | Physical Therapy Assistant | 305 Cherry St, Philadelphia, PA 19106-1803 | 2008-04-02 |
| 1609044536 | Angela Hager Sullivan | Psychologist | 9 Courthouse Dr, Winfield, WV 25213-9347 | 2008-02-13 |
| 1568586493 | Angela G Sullivan | Dietitian, Registered | 27 Madison Ave Ste 50, Paramus, NJ 07652-2722 | 2007-03-17 |
| 1245218114 | Angela Ann Sullivan | Counselor | 710 W Main St, Suite G, Blue Springs, MO 64015-3722 | 2006-01-02 |
| Street Address |
4701 LOGAN AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64136-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679650295 | Larry D Pribyl Dds PC | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2006-11-01 |
| 1205059599 | Samuel Joseph Huckabee | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2007-04-11 |
| 1932322245 | Huckabee & Huckabee Dds | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2007-04-11 |
| 1427271725 | Melanie J Huckabee | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2007-04-11 |
| 1619090040 | Adam Lucas Naler | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215454913 | Empowering Lives, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4711 Haden Ct, Kansas City, MO 64136 | 2017-08-24 |
| 1881075356 | Carminya Lynette Turner-ivory | Chiropractor | 15740 E Us Highway 40, Suite B, Kansas City, MO 64136-1100 | 2015-06-10 |
| 1154522720 | Tiffany's Adult Day Care Center LLC | Clinic/Center | 16021 E Us Highway 40, Kansas City, MO 64136-1118 | 2007-05-30 |
| 1982883179 | Care By Cassie Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15010 E 51st St, Kansas City, MO 64136-1142 | 2007-10-24 |
| 1770967929 | Care By Cassie, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15010 E 51st St, Kansas City, MO 64136-1142 | 2015-07-17 |
| 1811370406 | Cassandra M Clark-wheeler | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15010 E 51st St, Kansas City, MO 64136-1142 | 2015-07-01 |
| 1285939777 | Emily Katherine Handley. | Preferred Provider Organization | 14227 E Highway 40, Kansas City, MO 64136-1187 | 2011-01-14 |
| 1194145052 | Emily Katherine Handley, Dds, PC | Dentist | 14227 E Highway 40, Hawthorne Square, Kansas City, MO 64136-1187 | 2014-04-18 |
| 1639430010 | Elizabeth Mcclain | Dentist | 14227 E Highway 40, Hawthorne Square, Kansas City, MO 64136-1187 | 2012-06-01 |
| 1013293000 | Kenny He | Dentist | 14227 E Highway 40, Kansas City, MO 64136-1187 | 2011-10-23 |
| Find all providers in zip 64136 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262283 | Austin Rickabaugh | Dentist | 8911 State Ave, Kansas City, KS 66112-1645 | 2020-07-17 |
| 1396378998 | Nathan B Klein Dds LLC | Dentist | 7611 State Line Rd Ste 310, Kansas City, MO 64114-1698 | 2020-02-21 |
| 1497213565 | Village West Dentistry, Pa | Dentist | 1703 Village West Pkwy Ste 108, Kansas City, KS 66111-1859 | 2019-03-07 |
| 1851897821 | Shivam Parbhu | Dentist | 3719 Madison Ave, Kansas City, MO 64111-3813 | 2018-03-30 |
| 1295243475 | Nikita Shah | Dentist | 210 W 5th St Apt 101, Kansas City, MO 64105-1165 | 2018-01-22 |
| 1356870430 | Scuyler Myron Robert Kurlbaum | Dentist | 325 E 135th St, Kansas City, MO 64145-1462 | 2017-06-12 |
| 1366976862 | Margaret Boehm | Dentist | 400 E Red Bridge Rd Ste 321, Kansas City, MO 64131-4031 | 2017-04-12 |
| 1831638998 | Phoenix Hmr Holdings | Dentist | 5420 Ne Antioch Rd, Kansas City, MO 64119-2507 | 2017-02-21 |
| 1972040699 | Rm Dental Group East | Dentist | 4516 Broadway, Unit 301, Kansas City, MO 64111-3381 | 2017-01-20 |
| 1235682444 | Kristen R Erskin | Dentist | 8530 N Green Hills Rd, Kansas City, MO 64154-1403 | 2016-07-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64136 |
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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.