DR. AMANDA AZAN (NPI# 1154805810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154805810 |
| Entity Type | Individual |
| Full Name | DR. AMANDA AZAN |
| Credential | DDS |
| Practice Address |
13200 W 95th St Lenexa KS 66215-3731 |
| Mailing Address |
3709 Ne Ellison Dr Lees Summit MO 64064-1939 |
| Practice Telephone | 9138888333 |
| Mailing Telephone | 8167193220 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2018032604 | MO | Dental Providers |
| Street Address |
13200 W 95TH ST |
| City | LENEXA |
| State | KS |
| Zip Code | 66215-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710954862 | Frank A Jimenez II | Chiropractor | 13200 W 95th St, Lenexa, KS 66215-3731 | 2006-03-07 |
| 1235200890 | Integrity Chiropractic and Wellness, LLC | Chiropractor | 13200 W 95th St, Lenexa, KS 66215-3731 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| 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 |
|---|---|---|---|---|
| 1659982759 | Brendan Daugherty | Dentist | 10040 Woodland Dr, Lenexa, KS 66220-3802 | 2020-08-12 |
| 1164941795 | Andrew V Herwig Dds Pa | Dentist | 11900 W 87th Street Pkwy Ste 260, Lenexa, KS 66215-4517 | 2017-09-14 |
| 1386835924 | Paul Dewitte Rosel | Dentist | 11150 S Pflumm Rd, Lenexa, KS 66215-4810 | 2007-08-08 |
| 1962614594 | Ronald Joseph Charity | Dentist | 15220 W 87th St, Lenexa, KS 66219 | 2007-05-04 |
| 1043287071 | Steven Wayne Blum Jr. | Dentist | 19613 W 101st St, Lenexa, KS 66220-8600 | 2006-03-08 |
| 1720058993 | Perfect Smiles Dental Care | Dentist | 8650 Candlelight Lane, Suite One, Lenexa, KS 66215 | 2006-01-23 |
| 1518448612 | Sleep Better Lenexa LLC | Dentist | 15220 W 87th St, Lenexa, KS 66219-1429 | 2018-08-27 |
| 1407397789 | Kenneth Nelkin Dds LLC | Dentist | 12803 W 87th Street Pkwy, Lenexa, KS 66215-4528 | 2017-03-20 |
| 1811346216 | Ronald J Charity Dmd, LLC | Dentist | 15220 W 87th St, Lenexa, KS 66219-1429 | 2016-06-07 |
| 1649655291 | New Horizons Dental Care of Lenexa Pa | Dentist | 19613 W 101st St, Lenexa, KS 66220-8600 | 2015-07-24 |
| Find all providers in LENEXA | ||||
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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.