DR. JUSTIN R KOHLHORST (NPI# 1356452023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356452023 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN R KOHLHORST |
| Credential | DDS |
| Practice Address |
2508 Caseys Dr Garden City KS 67846-3314 |
| Practice Telephone | 6202751878 |
| Practice Fax Number | 6202752872 |
| Mailing Telephone | 6202751878 |
| Mailing Fax Number | 6202752872 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6516 | KS | Dental Providers |
| Street Address |
2508 CASEYS DR |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988213 | George A Hopkins | Optometrist | 2508 Caseys Dr, Garden City, KS 67846-3314 | 2005-11-14 |
| 1770749160 | Scott Michael Ackerman | Optometrist | 2508 Caseys Dr, Garden City, KS 67846-3314 | 2008-08-05 |
| 1427030618 | Darin L Hopkins | Optometrist | 2508 Caseys Dr, Garden City, KS 67846-3314 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932234465 | E. Michael Cummings | Dentist | 520 Franklin Ave, Suite #254, Garden City, NY 11530-5801 | 2007-02-23 |
| 1861416695 | James Anthony Alongi | Dentist | 226 7th St, Suite 105, Garden City, NY 11530-5723 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558883181 | Periodontal Care, P.a. | Dentist | 5000 W 95th St Ste 270, Prairie Village, KS 66207-3300 | 2017-07-14 |
| 1598106460 | Mark P Hagan | Dentist | 2981 N Webb Rd, Wichita, KS 67226 | 2013-07-08 |
| 1275723397 | David Lewis May | Dentist | 233 N Hillside St, Wichita, KS 67214-4903 | 2007-07-25 |
| 1114135381 | Jeffrey Craig Hambleton | Dentist | 1440 Wakarusa Dr, Ste 300, Lawrence, KS 66049-4090 | 2007-05-19 |
| 1225254295 | Julie C. Swift, Dds, Pa | Dentist | 634 Sw Mulvane St Ste 306, Topeka, KS 66606-1678 | 2007-04-18 |
| 1407978232 | Keerthana M Satheesh | Dentist | 10870 Benson St, Bldg. 21 Suite 2100, Overland Park, KS 66210-1502 | 2007-04-04 |
| 1861514572 | Richard A Hines | Dentist | 11237 Nall Ave Ste 140, Leawood, KS 66211-1639 | 2007-04-04 |
| 1063573483 | Mcknight & Oliver Periodontics | Dentist | 2200 W 75th Street, Prairie Village, KS 66208 | 2006-12-12 |
| 1295819951 | Foundation Periodontics, Pa | Dentist | 8704 Bourgade St, Suite 100, Lenexa, KS 66219-1440 | 2006-10-25 |
| 1932283256 | Jason E Wagle | Dentist | 2981 N Webb Rd., Wichita, KS 67226 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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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.