ALEX SHARIFIAN DDS MADISON DENTAL GROUP PC (NPI# 1457788135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457788135 |
| Entity Type | Organization |
| Organization Name | ALEX SHARIFIAN DDS MADISON DENTAL GROUP PC |
| Other Organization Name | MADISON DENTAL GROUP |
| Practice Address |
13541 Madison Avenue Kansas City MO 64145 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 8169420033 |
| Practice Fax Number | 8169423559 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | ALEX R SHARIFIAN (OWNER) |
| Authorized Official Telephone | 8169420033 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| Madison Dental Group | Doing Business As Name - Organization |
| Street Address |
13541 MADISON AVENUE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701456 | Cathy Mckay | Nurse Practitioner | 13101 Stateline Road, Kansas City, MO 64145 | 2015-06-02 |
| 1598852949 | Richard B Bluel | Chiropractor | 13356 Holmes Road, Kansas City, MO 64145 | 2006-10-06 |
| 1225144470 | Gregory A. Stiver | Dentist | 325 East 135th St., Kansas City, MO 64145 | 2006-08-21 |
| 1710493432 | Ashlyn G Simmons | Social Worker | 421 E 137th St, Kansas City, MO 64145 | 2017-12-18 |
| 1255841532 | Lorna Adair Mccartney | Nurse Practitioner | 11901 Wornall Rd, Bldg 8, Ste 105, Kansas City, MO 64145 | 2017-10-02 |
| 1235678525 | Brook Operations LLC | Assisted Living Facility | 12942 Wornall Rd, Kansas City, MO 64145 | 2017-02-20 |
| 1639440837 | Michael David Ciaccio | Counselor | 421 E 137th St, Kansas City, MO 64145 | 2012-01-19 |
| 1578841573 | Gregory A. Stiver, D.d.s., P.C. | Dental Laboratory | 325 East 135th St., Kansas City, MO 64145 | 2011-07-26 |
| 1427293430 | Total Renal Care Inc | Clinic/Center | 12110 Holmes Rd, Kansas City, MO 64145 | 2008-12-04 |
| 1396941423 | Tabitha J. Cummings | Dentist | 325 East 135th St., Kansas City, MO 64145 | 2007-06-25 |
| Find all providers in zip 64145 | ||||
| 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 |
|---|---|---|---|---|
| 1104434463 | Vaidehi Trivedi | Dentist | 10818 Parallel Pkwy # Ks, Kansas City, KS 66109-3649 | 2020-07-22 |
| 1063052777 | Threemondds LLC | Dentist | 7524 State Ave, Kansas City, KS 66112-2816 | 2020-01-10 |
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1134772940 | Alicia Finney | Dentist | 912 E 29th St Apt 1e, Kansas City, MO 64109-1167 | 2019-07-20 |
| 1790345155 | Dina Abdul Musheinesh | Dentist | 8043 Wornall Rd Ste 203, Kansas City, MO 64114-5822 | 2019-06-18 |
| 1083177695 | Connie Lou White | Dentist | 650 East 25th Street, School of Dentistry, Kansas City, MO 64108-2784 | 2019-04-10 |
| 1649763962 | Anna Irene Jobe | Dentist | 10203 Leavenworth Rd, Kansas City, KS 66109-3005 | 2018-06-11 |
| 1407348238 | Eilise Marie O'connor | Dentist | 411 Nichols Rd Ste 200, Kansas City, MO 64112-2015 | 2018-06-06 |
| 1588182778 | Gladstone Dental Michael Gioia Dds PC | Dentist | 5106 Ne Antioch Rd, Kansas City, MO 64119-2502 | 2017-09-07 |
| 1548790629 | Tyler Koehn | Dentist | 5901 Nw 63rd Ter Ste 150, Kansas City, MO 64151-3602 | 2017-06-12 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64145 |
Please comment or provide details below to improve the information on ALEX SHARIFIAN DDS MADISON DENTAL GROUP PC.
| 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.