DR. GERALD W VIDAN (NPI# 1174512388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174512388 |
| Entity Type | Individual |
| Full Name | DR. GERALD W VIDAN |
| Credential | D.D.S. |
| Practice Address |
105 W 10th St Eudora KS 66025-9593 |
| Mailing Address |
538 Church St Eudora KS 66025-9516 |
| Practice Telephone | 7855422993 |
| Mailing Telephone | 7855422143 |
| Enumeration Date | 2005-10-20 |
| 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 |
7077 | KS | Dental Providers |
| Street Address |
105 W 10TH ST |
| City | EUDORA |
| State | KS |
| Zip Code | 66025-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922639806 | Homestead of Eudora Operations LLC | Assisted Living Facility | 2725 Church Street, Eudora, KS 66025 | 2020-01-30 |
| 1396055901 | Lisa Suann Foltz | Physical Therapy Assistant | 924 Locust, Eudora, KS 66025 | 2010-10-15 |
| 1932410909 | Wellness Life Systems LLC | Durable Medical Equipment & Medical Supplies | 110 E 20th St, Eudora, KS 66025 | 2010-06-24 |
| 1205162468 | Michele Dubuisson | Social Worker | 2334 W. Lawrence Ave., Ste 212, Chicago, IL 66025 | 2009-10-22 |
| 1942678602 | Abbey Vieux-revell | Case Manager/Care Coordinator | 331 Stratton Cir, Eudora, KS 66025-7208 | 2015-09-10 |
| 1548609118 | Sean Scott Shire | Physical Therapist | 218 E 20th St Ste A, Eudora, KS 66025-7700 | 2013-06-17 |
| 1437227519 | Maribeth Lynn Orr | Family Medicine | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2006-11-30 |
| 1689081838 | Lawrence Physicians LLC | Family Medicine | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2014-07-21 |
| 1609041748 | Stacey Dines | Nurse Practitioner | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2008-04-29 |
| 1326219916 | Joseph H Hawkins | Family Medicine | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2008-03-21 |
| Find all providers in zip 66025 | ||||
| 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 |
|---|---|---|---|---|
| 1467868646 | Johnh. Hay, Dds, Inc. | Dentist | 104 W 20th St Ste 3, Eudora, KS 66025-8112 | 2014-07-08 |
| 1912015348 | Ruby J. Lee | Dentist | 144 S Main St, Eudora, AR 71640-3059 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290205 | Centurion/mhm/centene | Dentist | 11130 Rd E, Norton, KS 67654 | 2020-09-21 |
| 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 |
| 1104434463 | Vaidehi Trivedi | Dentist | 10818 Parallel Pkwy # Ks, Kansas City, KS 66109-3649 | 2020-07-22 |
| 1326656117 | Joel David Piper | Dentist | 10840 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2020-07-17 |
| 1184241044 | Celsus LLC | Dentist | 3110 Nieder Rd, Lawrence, KS 66047-1950 | 2020-06-26 |
| 1609405398 | Upcare Dental Olathe LLC | Dentist | 790 N Ridgeview Rd, Olathe, KS 66061-2900 | 2020-04-03 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1063052777 | Threemondds LLC | Dentist | 7524 State Ave, Kansas City, KS 66112-2816 | 2020-01-10 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
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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.