JAMES L. MCCREARY DDS (NPI# 1407127004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407127004 |
| Entity Type | Organization |
| Organization Name | JAMES L. MCCREARY DDS |
| Other Organization Name | CITADEL DENTAL GROUP KC MO |
| Practice Address |
1734 E 63rd Street Suite #401 Kansas City MO 64110 |
| Practice Telephone | 8165234444 |
| Practice Fax Number | 8165232689 |
| Mailing Telephone | 8165234444 |
| Mailing Fax Number | 8165232689 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | DR. JAMES LARRY MCCREARY (DENTIST-OWNER OF PRACTICE) |
| Authorized Official Telephone | 8165234444 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 126800000X | Dental Assistant | 2006023201 | MO | Dental Providers |
| Y | 126800000X | Dental Assistant | 11801 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 000548 | 05 |
| Other Name | Type Code |
|---|---|
| Citadel Dental Group KC MO | Other Name - Individual/Organization |
| Street Address |
1734 E 63RD STREET SUITE #401 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720253727 | Selectra Onesource, Inc. | Homemaker | 1734 E 63rd Street, Suite 448, Kansas City, MO 64110-3597 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| 1801361316 | Clayton Cloud | Specialist/Technologist | 5030 Holmes Street, Kansas City, MO 64110 | 2018-10-11 |
| 1053803510 | Humanity Homecare LLC | In Home Supportive Care | 1734 E 63rd St Ste 208, Kansas City, MO 64110 | 2018-05-31 |
| 1316438658 | Brink Healthmeds | Pharmacy | 1620 East 63rd Street, Kansas City, MO 64110 | 2018-05-22 |
| 1578003984 | 1st Action Home Health LLC | In Home Supportive Care | 1734 E 63rd St Ste 407, Kansas City, MO 64110 | 2017-03-03 |
| 1316212285 | Leah Karma Probasco-burns | Counselor | 633 E 63rd St Ste 230, Kansas City, MO 64110 | 2012-03-12 |
| 1093088007 | Amanda Kinsey | Speech-Language Pathologist | 4848 Woodland Ave, Kansas City, MO 64110 | 2012-02-22 |
| 1952612673 | Braxton Baker | Speech-Language Pathologist | 4341 Locust St, Kansas City, MO 64110 | 2010-06-28 |
| 1902031529 | Candice A Robinson Law | Optometrist | Brookside Eye Care Center, 520 E 63rd Street, Kansas City, MO 64110 | 2009-05-27 |
| 1942446232 | School District of Kansas City, Missouri | Clinic/Center | 4747 Flora, Kansas City, MO 64110 | 2008-12-17 |
| Find all providers in zip 64110 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434277 | Kendra Jasmin Butcher | Dental Assistant | 5047 Virginia Ave Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2018-04-17 |
| 1821544438 | Linda Ann Glick | Dental Assistant | 5047 Virginia Ave., Fort Leonard Wood, MO 65473-1317 | 2016-09-01 |
| 1942652086 | Robert Bartholomew Poulard | Dental Assistant | 4566 Oklahoma Ave, Bldg 2100, Fort Leonard Wood, MO 65473-1638 | 2016-07-12 |
| 1801140272 | Steven C. Monrotus, D.m.d. | Dental Assistant | 603 Maple Street, Farmington, MO 63640 | 2012-11-06 |
| 1790007631 | Taonya Lewis | Dental Assistant | 15442 Schoettler Valley Ct, Chesterfield, MO 63017-5301 | 2010-02-19 |
| 1205161726 | Kimberly Ann George | Dental Assistant | 508 W. Hwy. 71, Anderson, MO 64831 | 2009-10-16 |
| 1851416705 | Hollie Maria Sabella | Dental Assistant | 189 Baker Avenue, Webster Dental Care, Webster Groves, MO 63119 | 2007-03-20 |
| 1376632448 | Dorothy Jean Richardson | Dental Assistant | 1617 N Main St, Poplar Bluff, MO 63901-3445 | 2006-10-12 |
| 1376637728 | Jeanie Larue Mcclanahan | Dental Assistant | 115 Walnut St., Ellington, MO 63638 | 2006-10-02 |
| 1013000645 | Rebecca Ann Eggers | Dental Assistant | 1617 N Main St., Poplar Bluff, MO 63901 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64110 |
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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.