DR. SAMUEL JOSEPH HUCKABEE (NPI# 1205059599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205059599 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL JOSEPH HUCKABEE |
| Credential | D.D.S. |
| Practice Address |
4701 Logan Ave Kansas City MO 64136-1161 |
| Mailing Address |
201 Ne Bitter Creek Rd Lees Summit MO 64086-7011 |
| Practice Telephone | 8163501007 |
| Practice Fax Number | 8163501975 |
| Mailing Telephone | 8165541272 |
| Mailing Fax Number | 8163501975 |
| Enumeration Date | 2007-04-11 |
| 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 |
015721 | MO | Dental Providers |
| 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 |
| 1154586220 | Angela Marie Sullivan | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2008-07-28 |
| 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 | 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 |
|---|---|---|---|---|
| 1104434463 | Vaidehi Trivedi | Dentist | 10818 Parallel Pkwy # Ks, Kansas City, KS 66109-3649 | 2020-07-22 |
| 1063052777 | Threemondds LLC | Dentist | 7524 State Ave, Kansas City, KS 66112-2816 | 2020-01-10 |
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1134772940 | Alicia Finney | Dentist | 912 E 29th St Apt 1e, Kansas City, MO 64109-1167 | 2019-07-20 |
| 1790345155 | Dina Abdul Musheinesh | Dentist | 8043 Wornall Rd Ste 203, Kansas City, MO 64114-5822 | 2019-06-18 |
| 1083177695 | Connie Lou White | Dentist | 650 East 25th Street, School of Dentistry, Kansas City, MO 64108-2784 | 2019-04-10 |
| 1649763962 | Anna Irene Jobe | Dentist | 10203 Leavenworth Rd, Kansas City, KS 66109-3005 | 2018-06-11 |
| 1407348238 | Eilise Marie O'connor | Dentist | 411 Nichols Rd Ste 200, Kansas City, MO 64112-2015 | 2018-06-06 |
| 1588182778 | Gladstone Dental Michael Gioia Dds PC | Dentist | 5106 Ne Antioch Rd, Kansas City, MO 64119-2502 | 2017-09-07 |
| 1548790629 | Tyler Koehn | Dentist | 5901 Nw 63rd Ter Ste 150, Kansas City, MO 64151-3602 | 2017-06-12 |
| 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.