KELLY MITCHELL LINEBACK (NPI# 1245259209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245259209 |
| Entity Type | Individual |
| Full Name | KELLY MITCHELL LINEBACK |
| Credential | DDS |
| Practice Address |
407 Clairborne Suite 200 Olathe KS 66062 |
| Practice Telephone | 9137828838 |
| Practice Fax Number | 9137826776 |
| Mailing Telephone | 9137828838 |
| Mailing Fax Number | 9137826776 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6568 | KS | Dental Providers |
| Street Address |
407 CLAIRBORNE SUITE 200 |
| City | OLATHE |
| State | KS |
| Zip Code | 66062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| 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 |
|---|---|---|---|---|
| 1225652332 | Jasmyn Christine Thole | Dentist | 401 S Clairborne Rd Ste A, Olathe, KS 66062-1735 | 2020-06-04 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1659810778 | Elizabeth Marie Hechler | Dentist | 975 N Mur Len Rd Ste A, Olathe, KS 66062-1803 | 2017-02-22 |
| 1003218629 | Claire Stroede | Dentist | 15990 S Bradley Dr, Olathe, KS 66062-3925 | 2014-09-25 |
| 1225371198 | Michael George Kahler | Dentist | 14657 S Halsey St, Olathe, KS 66062-9430 | 2013-03-29 |
| 1184973141 | Anthony Llynn Callison D.d.s. P.C. | Dentist | 2001 E Santa Fe St, Olathe, KS 66062-1608 | 2012-09-06 |
| 1770844581 | Becky M Smith | Dentist | 15218 W 132nd Pl, Olathe, KS 66062-1590 | 2012-06-07 |
| 1932353273 | Philip Raymond Farruggia | Dentist | 517 N Mur Len Rd, Olathe, KS 66062-1267 | 2008-11-13 |
| Find all providers in OLATHE | ||||
Please comment or provide details below to improve the information on KELLY MITCHELL LINEBACK.
| 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.