MATTHEW STANDRIDGE, DDS, LLC (NPI# 1326397035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326397035 |
| Entity Type | Organization |
| Organization Name | MATTHEW STANDRIDGE, DDS, LLC |
| Other Organization Name | EUREKA FAMILY DENTAL |
| Practice Address |
810 N Main St Eureka KS 67045-1152 |
| Practice Telephone | 6205835535 |
| Practice Fax Number | 6205835755 |
| Mailing Telephone | 6205835535 |
| Mailing Fax Number | 6205835755 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | DR. MATTHEW SCOTT STANDRIDGE (DENTIST/OWNER) |
| Authorized Official Telephone | 6205835535 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
60776 | KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eureka Family Dental | Doing Business As Name - Organization |
| Street Address |
810 N MAIN ST |
| City | EUREKA |
| State | KS |
| Zip Code | 67045-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316368194 | Martha Heffron | Behavioral Analyst | 1313 E 50 Road, Eureka, KS 67045 | 2013-12-23 |
| 1750687216 | Greenwood County Hospital | General Acute Care Hospital | 105 W 16th St, Eureka, KS 67045 | 2011-02-01 |
| 1972000453 | Christopher Michael Miller | Dentist | 1602 N Elm St, Eureka, KS 67045 | 2018-04-10 |
| 1629044961 | Greenwood County Hospital | Emergency Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2006-02-27 |
| 1861695835 | Greenwood County Hospital | Family Medicine | 100 West 16th St., Eureka, KS 67045-1047 | 2007-06-07 |
| 1215045299 | Greenwood County Hospital | Clinic/Center | 100 West 16th St., Eureka, KS 67045-1047 | 2006-08-29 |
| 1275531485 | Greenwood County Hospital | Home Health | 100 W 16th St, Eureka, KS 67045-1064 | 2005-07-12 |
| 1417462151 | Andrea Dawn Wise | Nurse Practitioner | 100 W 16th St, Eureka, KS 67045-1064 | 2017-12-04 |
| 1558728048 | Anesthesia and Pain Management Consultants | Nurse Anesthetist, Certified Registered | 100 W 16th St, Eureka, KS 67045-1064 | 2016-01-28 |
| 1629215736 | Deena K Lighty | Occupational Therapy Assistant | 100 W 16th St, Eureka, KS 67045-1064 | 2009-01-12 |
| Find all providers in zip 67045 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295964104 | All Star Dental | Clinic/Center | 201a E 5th St, Eureka, MO 63025-1223 | 2009-07-13 |
| 1477758563 | Rocky F. Lupardus, D.m.d., P.C. | Clinic/Center | 302 Bald Hill Rd, Eureka, MO 63025-3731 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071783 | David L. Foley D.d.s. Inc | Clinic/Center | 940 N Andover Rd, Andover, KS 67002-9787 | 2020-10-20 |
| 1629680368 | Alexander J. Clark Dds, LLC | Clinic/Center | 8340 Mission Rd Ste 118, Prairie Village, KS 66206-1362 | 2020-08-22 |
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 1760018576 | Senior Dental Care of Ms, LLC | Clinic/Center | 8500 W 110th St Ste 450, Overland Park, KS 66210-4029 | 2020-03-13 |
| 1962037523 | Beverly Moon Dmd LLC | Clinic/Center | 4601 W 109th St Ste 240, Overland Park, KS 66211-1323 | 2020-03-04 |
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1811542640 | Medical Heights Dental Center, Pa | Clinic/Center | 100 W Ross Blvd Ste 2c, Dodge City, KS 67801-7217 | 2019-08-08 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1114588639 | Evolve Family Dentistry, LLC | Clinic/Center | 1133 College Ave Ste A103, Manhattan, KS 66502-2795 | 2019-06-25 |
| 1477112563 | Wamego Dental Professionals LLC | Clinic/Center | 1519 W Us Highway 24, Wamego, KS 66547-1322 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MATTHEW STANDRIDGE, DDS, 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.