MIDWEST DENTAL KANSAS DERBY PA (NPI# 1417222993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417222993 |
| Entity Type | Organization |
| Organization Name | MIDWEST DENTAL KANSAS DERBY PA |
| Other Organization Name | MIDWEST DENTAL |
| Practice Address |
1700 E James St Derby KS 67037-3543 |
| Practice Telephone | 3167883736 |
| Practice Fax Number | 3167884158 |
| Mailing Telephone | 3167883736 |
| Mailing Fax Number | 3167884158 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | ANDREW J NOLAN (ATTORNEY) |
| Authorized Official Telephone | 3162919542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Midwest Dental | Doing Business As Name - Organization |
| Street Address |
1700 E JAMES ST |
| City | DERBY |
| State | KS |
| Zip Code | 67037-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065635 | Sujan Rijal | Dentist | 1700 E James St, Derby, KS 67037-3543 | 2020-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1295227585 | James Todd Hawkins | Social Worker | 918 E Wedgewood Dr., Derby, KS 67037 | 2018-06-01 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1093161325 | Inspired Care LLC | In Home Supportive Care | 1400 E Warren Ave, Derby, KS 67037 | 2016-05-05 |
| 1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
| 1700264017 | Grant Snider Dds, LLC | Dentist | 2701 North Rock Road, Suite 600, Derby, KS 67037 | 2015-05-07 |
| 1629472691 | Anaidy Claudio | Social Worker | 265 W Village Lake Dr, Derby, KS 67037 | 2014-10-20 |
| 1396094470 | Derby Assisted Living, LLC | Assisted Living Facility | 719 N. Klein Circle, Derby, KS 67037 | 2012-09-05 |
| 1700104635 | Cynthia D Holcomb | Social Worker | 1721 E. Osage, Suite 300, Derby, KS 67037 | 2010-05-17 |
| 1295066215 | Traci Lynn Borland | Occupational Therapist | 731 Klein Circle, Derby, KS 67037 | 2010-01-15 |
| Find all providers in zip 67037 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033661988 | Dental Professionals LLC | Dentist | 900 E Meadowlark Blvd, Derby, KS 67037-3465 | 2016-10-26 |
| 1699901595 | Frederick Wayne Stark | Dentist | 1710 E Madison Ave Ste 600, Derby, KS 67037-2285 | 2009-06-05 |
| 1427241058 | Jay F. Clark | Dentist | 7455 Erie Rd, Lake Shore Prof Bldg, Derby, NY 14047-9305 | 2007-08-27 |
| 1063553964 | Anita Dugatto-coscia | Dentist | 69 Elizabeth St, 2nd Floor, Derby, CT 06418-1825 | 2007-02-12 |
| 1639218902 | Aaron Reilender D.d.s., Pa | Dentist | 1710 E Madison Ave, Suite 600, Derby, KS 67037-2189 | 2007-02-05 |
| 1619069614 | Bradley K Skillen | Dentist | 1700 James St, Derby, KS 67037-3543 | 2006-09-28 |
| 1417929035 | Christopher J Hickerson | Dentist | 1120 N Rock Rd, Suite 100, Derby, KS 67037-3584 | 2006-02-07 |
| 1740265800 | Vincent Thomas Farha | Dentist | 500 North Georgie Ave, Derby, KS 67037-1707 | 2005-12-13 |
| 1770586935 | Steven Frances Rospond | Dentist | 620 N Georgie Ave, Derby, KS 67037-1724 | 2005-05-23 |
| 1588128235 | Anurag Bhargava | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2019-01-28 |
| Find all providers in DERBY | ||||
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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.