AFFORDABLE DENTAL OF OLATHE, LLC (NPI# 1194001370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194001370 |
| Entity Type | Organization |
| Organization Name | AFFORDABLE DENTAL OF OLATHE, LLC |
| Other Organization Name | AFFORDABLE DENTAL OF LEAVENWORTH |
| Practice Address |
920 6th Ave Medical Arts Bldg, Suite 101 Leavenworth KS 66048-3225 |
| Mailing Address |
401 S Clairborne Rd Suite 201 Olathe KS 66062-1735 |
| Practice Telephone | 9136822595 |
| Practice Fax Number | 9136822595 |
| Mailing Telephone | 9138391792 |
| Mailing Fax Number | 9138391792 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | DR. M CONRAD JOURNEE (DENTIST/OWNER) |
| Authorized Official Telephone | 8163923112 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
7100 | KS | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60842 | KS | Dental Providers |
| Other Name | Type Code |
|---|---|
| Affordable Dental of Leavenworth | Doing Business As Name - Organization |
| Street Address |
920 6TH AVE MEDICAL ARTS BLDG, SUITE 101 |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851332639 | Saint Lukes Hospice of Leavenworth LLC | Hospice Care, Community Based | 920 6th Ave, Leavenworth, KS 66048-3225 | 2006-06-10 |
| 1043558687 | Diane Elaine Margolies | Marriage & Family Therapist | 920 6th Ave, Suite 203, Leavenworth, KS 66048-3225 | 2013-01-16 |
| 1194967778 | Occupational & Preventive Medicine Services | Clinic/Center | 920 6th Ave, Medical Arts Building, Leavenworth, KS 66048-3225 | 2009-03-29 |
| 1932393360 | Lynn Ann Vaughan, Md, Ltd | Dermatology | 920 6th Ave, Leavenworth, KS 66048-3225 | 2007-08-29 |
| 1316089519 | Lynn A Vaughan | Dermatology | 920 6th Ave, Leavenworth, KS 66048-3225 | 2007-02-13 |
| 1235202888 | Saint Luke's Hospice of Leavenworth LLC | Hospice Care, Community Based | 920 6th Ave, Leavenworth, KS 66048-3225 | 2006-11-15 |
| 1881704500 | Jayme L Kral | Physical Therapist | 920 6th Ave, #207, Leavenworth, KS 66048-3225 | 2006-08-30 |
| 1811910342 | W. Dean Walton | Dentist | 920 6th Ave, Medical Arts Bldg, Leavenworth, KS 66048-3225 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| 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 |
|---|---|---|---|---|
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1902984917 | Donald Darren Haun | Dentist | 3507 S 4th St, Leavenworth, KS 66048-5013 | 2006-11-01 |
| 1952490443 | John Marshall Schiefelbein | Dentist | 246 Division St, Leavenworth, WA 98826-1426 | 2006-10-12 |
| 1124081880 | Timothy J Gerety | Dentist | 4101 S 4th Street, Dental Clinic, L-160, Leavenworth, KS 66048-5055 | 2006-04-11 |
| 1124002332 | Bradford Paul O'brien | Dentist | 321 9th St, Suite 105, Leavenworth, WA 98826-1464 | 2005-12-01 |
| 1760463921 | John H Mcknight | Dentist | 4500 S 4th St, Leavenworth, KS 66048-5041 | 2005-11-07 |
| 1538602412 | Jennifer A. Kirwan Dds Pa Dba The Smile Centre | Dentist | 309 S 2nd St, Leavenworth, KS 66048-2803 | 2016-11-28 |
| 1538493440 | Morgen Young Gardner | Dentist | 3507 S 4th St, Heartland Dental Group, Leavenworth, KS 66048-5013 | 2009-09-24 |
| 1285847897 | Mark A Clemens Dds Pa | Dentist | 502 Shawnee St, Leavenworth, KS 66048-1957 | 2007-05-08 |
| 1265565865 | Ryan Wayne Johnson | Dentist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2007-03-13 |
| Find all providers in LEAVENWORTH | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
Please comment or provide details below to improve the information on AFFORDABLE DENTAL OF OLATHE, LLC.
| 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.