KC COMPLETE PROSTHODONTICS PA (NPI# 1306365754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306365754 |
| Entity Type | Organization |
| Organization Name | KC COMPLETE PROSTHODONTICS PA |
| Other Organization Name | KC COMPLETE PROSTHODONTICS |
| Practice Address |
11401 Nall Ave Ste 102 Leawood KS 66211-1850 |
| Practice Telephone | 9137035599 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | DR. ROBERT ANDREW SPARKS (OWNER) |
| Authorized Official Telephone | 6602162514 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
61139 | KS | Dental Providers |
| Other Name | Type Code |
|---|---|
| KC Complete Prosthodontics | Doing Business As Name - Organization |
| Street Address |
11401 NALL AVE STE 102 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750623799 | Robert Andrew Sparks | Dentist | 11401 Nall Ave Ste 102, Leawood, KS 66211-1850 | 2013-03-16 |
| 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 | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750623799 | Robert Andrew Sparks | Dentist | 11401 Nall Ave Ste 102, Leawood, KS 66211-1850 | 2013-03-16 |
| 1225312911 | Ruohong Liu | Dentist | 15042 Oxford St, Leawood, KS 66224-4574 | 2011-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184872152 | Guillermo Guillen | Dentist | 12701 Metcalf Ave Ste 102, Overland Park, KS 66213-2617 | 2008-09-03 |
| 1902013949 | Dale L Cipra | Dentist | 10925 Antioch Rd, Suite 201, Overland Park, KS 66210-2109 | 2007-05-17 |
| 1831301340 | Andrew Van Blarcom, Dds, Pa | Dentist | 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 | 2007-05-04 |
| 1154487593 | Andrew Blake Vanblarcom | Dentist | 5000 W 95th St Ste 290, Prairie Village, KS 66207-3300 | 2006-12-29 |
| 1073673976 | Clifford Winters Vanblarcom | Dentist | 6834 Linden St, Prairie Village, KS 66208-1426 | 2006-12-11 |
| 1386672939 | Jon M. Finley, D.d.s., P.C. | Dentist | 4650 W 90th Ter, Prairie Village, KS 66207-2308 | 2006-06-30 |
| 1952936437 | Edward M. Amet Dds, Ms. PC | Dentist | 10801 W 87th St, Overland Park, KS 66214-1657 | 2020-03-05 |
| 1992967822 | Brandon Allen James | Dentist | 4650 W 90th Ter, Prairie Village, KS 66207-2308 | 2008-07-01 |
| 1710152913 | Joseph Aloysius Lewandowski | Dentist | 14700 Metcalf Ave, Suite 140, Overland Park, KS 66223-2204 | 2008-04-28 |
| 1851477814 | Mark Vincent Vail | Dentist | 1629 Poyntz Ave, Manhattan, KS 66502-4148 | 2006-10-31 |
| Find all providers with the same taxonomy | ||||
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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.