DR. RONALD MILTON LONGANECKER (NPI# 1336255868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336255868 |
Entity Type | Individual |
Full Name | DR. RONALD MILTON LONGANECKER |
Credential | DDS |
Practice Address |
821 Martin Rd Amarillo TX 79107-6813 |
Mailing Address |
Po Box 51436 Amarillo TX 79159-1436 |
Practice Telephone | 8063764770 |
Mailing Telephone | 8063764770 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8550 | TX | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | DEPT. OF PUBLIC SAFETY | 40011733 | 01 |
Street Address |
821 MARTIN RD |
City | AMARILLO |
State | TX |
Zip Code | 79107-6813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063539898 | William James Kemp, Jr. Dds, Inc | Dentist | 821 Martin Rd, Amarillo, TX 79107-6813 | 2007-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851738884 | Daniel J Meadors | Dentist | 2201 N. Grand, Amarillo, TX 79107 | 2013-05-31 |
1568660785 | Keelie Nicole Hauk | Dental Hygienist | 850 Martin Road, Amarillo, TX 79107 | 2007-07-10 |
1346361664 | Daniel J Meadors Dds Inc | Dentist | 2201 N Grand, Amarillo, TX 79107 | 2007-04-03 |
1881701795 | John C Curry | Dentist | 2201 N Grand St, Amarillo, TX 79107 | 2006-08-24 |
1285633305 | Kathy Ann Ford | Nurse Practitioner | 824 Martin Rd, Amarillo, TX 79107 | 2005-07-20 |
1629572854 | Ihnbae Cho | Dentist | 206 Ne 7th Ave, Amarillo, TX 79107 | 2018-03-21 |
1467736363 | Maria Fernanda Contreras | Pediatrics | 713 N Taylor St, Amarillo, TX 79107 | 2011-10-11 |
1477735322 | Timothy John Revell | Emergency Medicine | 9601 Spur 591, Amarillo, TX 79107 | 2007-12-03 |
1851309280 | John Michael Archer | Dentist | 1900 Coulter Road, Suite G, Amarillo, TX 79107-1732 | 2006-08-03 |
1386067593 | Amber Leigh Roth | Nurse Practitioner | 1411 East Amarillo Blvd, Amarillo, TX 79107-1770 | 2014-01-23 |
Find all providers in zip 79107 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356465074 | Billy J Metcalf | Dentist | 4501 Van Winkle, Amarillo, TX 79119-6423 | 2007-03-19 |
1255416962 | Lorra Lorraine Cantu' Lindsey | Dentist | 5051 South Soncy, Amarillo, TX 79119 | 2006-10-25 |
1679656243 | Randall K Browning | Dentist | 7201 W 34th Ave, Amarillo, TX 79109-3900 | 2006-10-24 |
1750386991 | Duane Rosby Tinkler | Dentist | 2455 W Interstate 40, Amarillo, TX 79109-1852 | 2005-06-15 |
1689677098 | William James Kemp Jr. | Dentist | 2455 I 40 W, Amarillo, TX 79109-1852 | 2005-05-31 |
1114407681 | Kristin Kae Swanson | Dentist | 5051 S Soncy Rd, Amarillo, TX 79119-6667 | 2018-08-15 |
1497101273 | David Harney | Dentist | 2455 I 40 W, Amarillo, TX 79109-1852 | 2016-05-10 |
1063539898 | William James Kemp, Jr. Dds, Inc | Dentist | 821 Martin Rd, Amarillo, TX 79107-6813 | 2007-03-25 |
1538233622 | Shane L Moore | Dentist | 2455 W Interstate 40, Amarillo, TX 79109-1852 | 2006-11-20 |
1073614772 | Amarillo Pediatric Dentistry and Orthodontics, Pa | Dentist | 2455 W Interstate 40, Amarillo, TX 79109-1852 | 2006-09-26 |
Find all providers in AMARILLO |
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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.