BRIANNA MICHELE GANSON (NPI# 1235494964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235494964 |
| Entity Type | Individual |
| Full Name | BRIANNA MICHELE GANSON |
| Credential | D.D.S. |
| Practice Address |
11225 Nall Ave Suite 100 Leawood KS 66211-1928 |
| Practice Telephone | 9134696555 |
| Practice Fax Number | 9134696555 |
| Mailing Telephone | 9134696555 |
| Mailing Fax Number | 9134696555 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2014004314 | MO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60829 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1235494964 | 05 | |
| KS | 201112750A | 05 |
| Street Address |
11225 NALL AVE SUITE 100 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821039645 | Robert A Johns | Dentist | 11225 Nall Ave, Suite 110, Leawood, KS 66211-1669 | 2006-06-10 |
| 1215120209 | Leawood Family Eye Care Pa | Optometrist | 11225 Nall Ave, Ste 100, Leawood, KS 66211 | 2007-08-22 |
| 1932273364 | Leawood Family Dental LLC | Dentist | 11225 Nall Ave, Suite 120, Leawood, KS 66211-1669 | 2006-11-18 |
| 1760566061 | Stacy D. Phillips | Optometrist | 11225 Nall Ave, Ste. 100, Leawood, KS 66211-1669 | 2006-10-24 |
| 1164506465 | Evan Alan Phillips | Optometrist | 11225 Nall Ave, Ste. 100, Leawood, KS 66211-1669 | 2006-10-24 |
| 1922101948 | Steven J Walker | Dentist | 11225 Nall Ave, Suite 120, Leawood, KS 66211 | 2006-09-06 |
| 1295844108 | Justin M Davenport | Dentist | 11225 Nall Ave, Suite 120, Leawood, KS 66211 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1427516848 | Graham Naasz | Dentist | 4861 W 134th St Ste A, Leawood, KS 66209-7826 | 2019-03-05 |
| 1841649266 | Megan Konz | Dentist | 3400 College Blvd, Ste #203, Leawood, KS 66211-1917 | 2016-06-07 |
| 1558617282 | Asha Dental LLC | Dentist | 11100 Ash St Ste 204, Leawood, KS 66211-1764 | 2012-07-31 |
| 1033424130 | Abbie Skochdopole Mcknight | Dentist | 3400 College Blvd Ste 203, Leawood, KS 66211-1917 | 2010-08-12 |
| 1588975080 | Confident Smiles, Pa | Dentist | 14109 Overbrook Rd, Leawood, KS 66224-4516 | 2010-06-29 |
| 1689998528 | Mohn & Smiley Dental LLC | Dentist | 13430 Briar St., Leawood, KS 66209 | 2010-03-22 |
| 1891920443 | Neda Ensieh Delavari | Dentist | 13450 Roe Ave, Leawood, KS 66209-3412 | 2009-05-27 |
| 1851556187 | Kenneth F. Stewart | Dentist | 12808 Cedar St, Leawood, KS 66209-1868 | 2008-07-25 |
| Find all providers in LEAWOOD | ||||
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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.