DR. STACIE JEANNELLE FECHNER (NPI# 1225697394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225697394 |
| Entity Type | Individual |
| Full Name | DR. STACIE JEANNELLE FECHNER |
| Credential | DDS |
| Practice Address |
13316 Metcalf Ave Overland Park KS 66213-2804 |
| Mailing Address |
6508 W 65th Ter Overland Park KS 66202-4105 |
| Practice Telephone | 9138515110 |
| Mailing Telephone | 3146510148 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61616 | KS | Dental Providers |
| Street Address |
13316 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215367172 | Overland Park Modern Dentistry Pa | Dentist | 13316 Metcalf Ave, Overland Park, KS 66213-2804 | 2013-11-13 |
| 1033727821 | Rachel Michelle Slenker | Dentist | 13316 Metcalf Ave, Overland Park, KS 66213-2804 | 2020-07-17 |
| 1316327349 | Swetha T Nagaraju | Dentist | 13316 Metcalf Ave, Overland Park, KS 66213-2804 | 2015-06-04 |
| 1922414168 | Cassandra Collins Mckenzie | Dentist | 13316 Metcalf Ave, Overland Park, KS 66213-2804 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| 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 |
|---|---|---|---|---|
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1497315758 | Jordan Lynn Paulsen | Dentist | 14221 Metcalf Ave Ste 100, Overland Park, KS 66223-3333 | 2019-06-19 |
| 1437645025 | Joseph Daniel Geha | Dentist | 11826 W 135th St, Overland Park, KS 66221-9399 | 2018-07-06 |
| 1790279271 | Brookridge Dentistry, Pa | Dentist | 9528 Antioch Rd, Overland Park, KS 66212-4058 | 2018-06-19 |
| 1164931200 | Mina Sung | Dentist | 15408 Maple St, Overland Park, KS 66223-3262 | 2017-09-20 |
| 1679940647 | Watson Dental, LLC | Dentist | 11538 W 119th St, Overland Park, KS 66213-2002 | 2015-08-26 |
| 1215341003 | Creighton Gallagher, Dds LLC | Dentist | 8925 W 135th Street, Overland Park, KS 66221 | 2014-06-19 |
| 1225312135 | Melissa E Kusiak | Dentist | 7311 W 79th St, Overland Park, KS 66204-2908 | 2011-10-11 |
| 1568779551 | Joseph A Bellafiore | Dentist | 9921 W 116th Pl, Overland Park, KS 66210-3114 | 2010-09-12 |
| 1174754337 | Dr Gaugh Associates P A | Dentist | 8005 W 110th St Ste 212, Overland Park, KS 66210-2619 | 2009-08-05 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.