HAAKE FAMILY DENTAL LLC (NPI# 1275703811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275703811 |
| Entity Type | Organization |
| Organization Name | HAAKE FAMILY DENTAL LLC |
| Practice Address |
4601 W 109th St Suite 112 Overland Park KS 66211-1318 |
| Practice Telephone | 9133816644 |
| Practice Fax Number | 9133816646 |
| Mailing Telephone | 9133816644 |
| Mailing Fax Number | 9133816646 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-06-25 |
| Authorized Official Name | DR. STEPHEN M HAAKE (DENTIST) |
| Authorized Official Telephone | 9133816644 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
60089 | KS | Dental Providers |
| Street Address |
4601 W 109TH ST SUITE 112 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656674 | David E Braverman | Ophthalmology | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2005-06-01 |
| 1164977138 | Roy K Oyer | Urology | 4601 W 109th St, Suite 314, Overland Park, KS 66211-1318 | 2016-08-19 |
| 1629488952 | Jahn E. Roedemeier, Dds, Pa | Dentist | 4601 W 109th St, Suite 320, Overland Park, KS 66211-1318 | 2014-05-08 |
| 1689084311 | Parks Children's Dentistry | Dentist | 4601 W 109th St, Suite 217, Overland Park, KS 66211-1318 | 2014-05-02 |
| 1487078036 | David Francisco | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1003230665 | Joon Won Kim | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1598189144 | James Randall | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1932466851 | Michelle G Mchale | Dentist | 4601 W 109th St, Suite #212, Overland Park, KS 66211-1318 | 2012-04-17 |
| 1154598332 | Optical Options Cibis Ltd | Technician/Technologist | 4601 W 109th St, 100, Overland Park, KS 66211-1318 | 2008-05-15 |
| 1598930745 | Children's Eye Care, P.a. | Ophthalmology | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2008-04-29 |
| Find all providers in the same location | ||||
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073045902 | Amy Linn Vermeer | Dentist | 4601 W 109th St Ste 250, Overland Park, KS 66211-1314 | 2017-03-30 |
| 1114475324 | Jeffrey R Burroughs Dds LLC | Dentist | 5525 W 119th St Ste 215, Overland Park, KS 66209-3724 | 2016-09-16 |
| 1548424799 | Christopher Gene Budig | Dentist | 13340 Metcalf Ave, Overland Park, KS 66213-2804 | 2008-07-16 |
| 1154484301 | The Endodontic P.C. | Dentist | 5600 West 95th St #216, Overland Park, KS 66207 | 2006-12-19 |
| 1962579219 | Cornerstone Endodontics | Dentist | 4601 W 109th Street Suite 325, Overland Park, KS 66211 | 2006-11-30 |
| 1487078036 | David Francisco | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1003230665 | Joon Won Kim | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1598189144 | James Randall | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1972720613 | Mark Andrew Holman | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417476847 | Hillside Endodontics LLC | Dentist | 215 S. Hillside, Wichita, KS 67211-2128 | 2017-09-18 |
| 1588185748 | Anthony A Altomare | Dentist | 11409 Ash St Ste A, Leawood, KS 66211-1753 | 2017-06-28 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1568890515 | Perry Endodontics LLC | Dentist | 215 S Hillside St, Wichita, KS 67211-2128 | 2013-10-29 |
| 1760703425 | Adam John Retallick | Dentist | 333 S Seth Child Rd, Manhattan, KS 66502-3003 | 2010-06-17 |
| 1194049940 | Topeka Endodontics | Dentist | 6231 Sw 29th St Ste 300, Topeka, KS 66614-4684 | 2010-03-23 |
| 1255526091 | Professional Endodontics | Dentist | 7570 W 21st St N Ste 1042b, Wichita, KS 67205-1763 | 2007-09-13 |
| 1538374616 | Daniel Richard Loftus | Dentist | 2501 Canterbury Dr, Hays, KS 67601-2296 | 2007-05-11 |
| 1649482290 | Hillsboro Dental Care LLC | Dentist | 119 E Grand, Hillsboro, KS 67063 | 2007-05-04 |
| 1487871208 | Donald R Mayer | Dentist | 215 S Hillside, Wichita, KS 67211-2128 | 2007-04-20 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on HAAKE FAMILY DENTAL 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.