MRS. STEPHANIE LYNN PRUSA (NPI# 1174837751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174837751 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE LYNN PRUSA |
| Credential | DENTAL HYGIENIST |
| Practice Address |
753 State Ave Kansas City KS 66101-2516 |
| Mailing Address |
10814 W 101st Ter Overland Park KS 66214-2532 |
| Practice Telephone | 9133214385 |
| Mailing Telephone | 9135268549 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 2010022535 | MO | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 11287 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 1841288974 | 05 | |
| KS | 1407988710 | 05 |
| Street Address |
753 STATE AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66101-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605168 | Miralda G Moreno | Dentist | 753 State Ave, Suite 375, Kansas City, KS 66101-2516 | 2005-08-10 |
| 1710203187 | Payne, Hogan & Associates | Social Worker | 753 State Ave, Suite 660, Kansas City, KS 66101-2516 | 2010-04-10 |
| 1013146547 | Kansas City Kansas Dental Professionals Pa | Clinic/Center | 753 State Ave, Kansas City, KS 66101-2516 | 2009-07-06 |
| 1023277431 | Moreno Family Dentistry | Dentist | 753 State Ave, Ste 375, Kansas City, KS 66101-2516 | 2008-06-02 |
| 1932238490 | Jacqueline Anita Hogan | Social Worker | 753 State Ave, Suite 660, Kansas City, KS 66101-2516 | 2007-03-02 |
| 1114028578 | Kansas City Kansas Dental Associates Pa | Dentist | 753 State Ave, Ste 665, Kansas City, KS 66101-2516 | 2006-09-26 |
| 1003806191 | Tommy Rose | Dentist | 753 State Ave, Ste 402, Kansas City, KS 66101-2516 | 2005-10-28 |
| 1912990581 | Thomas Arthur Jones | Dentist | 753 State Ave, Kansas City, KS 66101-2518 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984336 | Nicole Konrade | Occupational Therapist | 818 Ann Ave, Kansas City, KS 66101 | 2020-05-27 |
| 1639675119 | Teah Rae Strickland | Private Vehicle | 2103 N 7th St, Kansas City, KS 66101 | 2018-04-03 |
| 1629320320 | Elizabeth Jane Johnson | Speech-Language Pathologist | 1119 N. 5th St., Kansas City, KS 66101 | 2012-10-05 |
| 1720118110 | Promohispano Inc. | Technician/Technologist | 825 N 7th St, Suite 101, Kansas City, KS 66101 | 2007-03-06 |
| 1811042534 | Sunflower Adult Daycare Inc | Clinic/Center | 1109 N 5th, Kansas City, KS 66101 | 2007-01-24 |
| 1730178195 | Joe M. Herrera | Dentist | 701 Washington Blvd., Kansas City, KS 66101 | 2005-10-18 |
| 1558723031 | Garnetta King | Counselor | 803 Armstrong Ave, Associated Youth Services, Kansas City, KS 66101 | 2016-03-24 |
| 1447666110 | Jill Denise Coleman | Registered Nurse | 619 Ann Ave, Kansas City, KS 66101 | 2014-07-02 |
| 1629313192 | Leslie Marie Layton | Chiropractor | 300 N 7th St, Kansas City, KS 66101 | 2012-12-10 |
| 1457735185 | Jamie Adams | Registered Nurse | 924 Manorcrest Dr, Kansas City, KS 66101-1139 | 2015-07-13 |
| Find all providers in zip 66101 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467843391 | Nathanael Myers | Dental Hygienist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2015-02-13 |
| 1861830853 | Shelley Fay Mathews | Dental Hygienist | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2013-06-12 |
| 1144577487 | Anne Lograsso | Dental Hygienist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2012-08-06 |
| 1225384860 | Kristy Andrews | Dental Hygienist | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2012-08-01 |
| 1649526658 | Marisol Lewis | Dental Hygienist | 7900 Lees Summit Rd, Department of Dentistry, Kansas City, MO 64139-1236 | 2012-07-27 |
| 1730457219 | Danielle Mignon Lasater | Dental Hygienist | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2011-12-12 |
| 1316244536 | Emily C Eigensee | Dental Hygienist | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2011-02-24 |
| 1477686335 | Sally A Cook | Dental Hygienist | 2816 E 23rd St, Kansas City, MO 64127-4002 | 2007-03-13 |
| 1245344845 | Gladis C Jones | Dental Hygienist | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505227 | Kandice Sublette | Dental Hygienist | 1314 Sutter Woods Rd, Junction City, KS 66441-2581 | 2020-07-10 |
| 1093369407 | Kaylee Nicole Sexton | Dental Hygienist | 2051 N State St # Sr, Iola, KS 66749-1677 | 2019-07-25 |
| 1669958336 | Sara Glotzbach | Dental Hygienist | 4000 Overland Dr, Lawrence, KS 66049-4120 | 2018-07-16 |
| 1932614328 | Danielle Lee Hermann | Dental Hygienist | 5437 Wild Horse Rd, Mc Louth, KS 66054-4222 | 2017-12-06 |
| 1831604677 | Lindsay Brianna Lee | Dental Hygienist | 18409 Juniper Ter, Gardner, KS 66030-9149 | 2017-12-01 |
| 1104214816 | Quail Crest Imaging, LLC | Dental Hygienist | 4830 Quail Crest Pl Ste B, Lawrence, KS 66049-3842 | 2015-01-05 |
| 1891128385 | Christen C Lacey | Dental Hygienist | 5222 Trego Rd, Atchison, KS 66002-5108 | 2013-08-20 |
| 1720425283 | Meghan Leigh Hoshaw | Dental Hygienist | 831 Joanie Ln, Salina, KS 67401-9659 | 2013-05-23 |
| 1962745794 | Luz Del Carmen Estrada | Dental Hygienist | 2300 N 14th Ave Ste 202, Dodge City, KS 67801-2367 | 2013-03-29 |
| 1962736884 | Kristina Lynn Lobb | Dental Hygienist | 706 River St, Tonganoxie, KS 66086-9586 | 2009-09-24 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 66101 |
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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.