FAMILY DENTISTRY (NPI# 1497012702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497012702 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTISTRY |
| Practice Address |
113 S Main St Suite A Ulysses KS 67880-2519 |
| Practice Telephone | 6204244499 |
| Practice Fax Number | 6204244498 |
| Mailing Telephone | 6204244499 |
| Mailing Fax Number | 6204244498 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | DR. KENNETH ELWYN BEAN (OWNER/ DENTIST) |
| Authorized Official Telephone | 6204244499 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5513 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100225900A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558744995 | Family Dentistry | Dentist | 1618 N 5th St Ste 2, Ponca City, OK 74601-2764 | 2015-07-02 |
| 1508114984 | Family Dentistry | Clinic/Center | 650 Central Ave Ste I, Alameda, CA 94501-7803 | 2012-08-16 |
| 1053608042 | Family Dentistry | Dentist | 10655 State Road 662, Newburgh, IN 47630 | 2011-06-29 |
| 1871743682 | Family Dentistry | Dentist | 1810 Knox Ave Ste A, North Augusta, SC 29841-2903 | 2008-09-29 |
| 1053582908 | Family Dentistry | Dentist | 489 Western Ave, Albany, NY 12203 | 2008-03-19 |
| 1770752073 | Family Dentistry | Dentist | 1163 Seay Ave, Boaz, AL 35957-6242 | 2008-02-21 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1588641344 | Family Dentistry | Clinic/Center | 3000 Hungary Spring Road, Richmond, VA 23228 | 2005-12-22 |
| 1487090411 | Family Dentistry | Dentist | 16018 Amar Rd, City of Industry, CA 91744-2203 | 2013-05-16 |
| 1558607242 | Family Dentistry | Dentist | 1756 Vine Street, Denver, CO 80206 | 2012-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY DENTISTRY | 421 Main St, Polson, MT 59860-2123 |
| Virginia Business Entities | Family Dentistry Gregory S. DiRenzo DMD P.C. | 540 East Main Street, Purcellville, Virginia 20132 |
| Indiana Business Entities | FAMILY DENTISTRY INC | 2006 N Main St, Mishawaka, IN 46545 |
| New York State Corporations | FAMILY DENTISTRY OF BRIARCLIFF, PLLC | 11 Martine Avenue, 12th Floor, White Plains, Ny 10606 |
| Connecticut Business Registrations | Family Dentistry of Bridgeport P. C. | 90 Brooklawn Ave, Bridgeport, CT 06604 |
| Connecticut Business Registrations | FAMILY DENTISTRY OF DERBY P.C. | 115 New Haven Ave, Derby, CT 06418 |
| New York State Corporations | FAMILY DENTISTRY OF DR. JESSICA SHIN, PLLC | 365 Aviation Rd, Queensbury, Ny 12804 |
| Oregon Corporations, Companies and Business Names | FAMILY DENTISTRY OF GOLD BEACH, INC. | 29814 Ellensburg, Gold Beach, OR 97444 |
| Connecticut Business Registrations | FAMILY DENTISTRY OF HARTFORD PLLC | 19 Woodland Street, Suite 25, Hartford, CT 06105 |
| System for Award Management (SAM) Entities | FAMILY DENTISTRY OF HOUSTON PC | 13145 Veterans Memorial Dr, Houston, TX 77014-1903 |
| Street Address |
113 S MAIN ST SUITE A |
| City | ULYSSES |
| State | KS |
| Zip Code | 67880-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609842046 | Kenneth E Bean | Dentist | 113 S Main St, Ulysses, KS 67880-2519 | 2006-02-26 |
| 1669861019 | United Methodist Western Kansas Mexican American Ministries, Inc. | Clinic/Center | 113 S Main St, Ulysses, KS 67880-2519 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130852 | Western Prairie Assisted Living Operations LLC | Assisted Living Facility | 750 N Missouri St, Ulysses, KS 67880 | 2018-07-18 |
| 1013240613 | Unified School District #214 | Local Education Agency (LEA) | 111 S Baughman St, Ulysses, KS 67880 | 2009-09-14 |
| 1265482467 | Bob Wilson Memorial Grant County Hospital | General Acute Care Hospital | 415 N Main, Ulysses, KS 67880 | 2006-05-11 |
| 1205358959 | Western Prairie Nursing Facility Operations LLC | Skilled Nursing Facility | 510 E San Jacinto Ave, Ulysses, KS 67880 | 2017-07-14 |
| 1710422795 | St Catherine Hospital | Family Medicine | 505 N Main St, Ulysses, KS 67880 | 2016-12-29 |
| 1477902898 | Ashley Johnson | Nurse Practitioner | 505 N Main St, Ulysses, KS 67880 | 2016-06-07 |
| 1366851313 | Nora Patricia Elizalde | Nurse Practitioner | 505 N Main St, Ulysses, KS 67880 | 2014-08-04 |
| 1255648036 | Prairie Vista Dental, LLC | Dentist | 209 W Central Ave, Uysses, KS 67880 | 2010-09-01 |
| 1801824123 | Bob Wilson Memorial Grant County Hospital | Medicare Defined Swing Bed Unit | 415 N Main, Ulysses, KS 67880 | 2006-06-28 |
| 1669441523 | County of Grant | Ambulance | 320 E Oklahoma Ave, Ulysses, KS 67880-0514 | 2006-03-14 |
| Find all providers in zip 67880 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071783 | David L. Foley D.d.s. Inc | Clinic/Center | 940 N Andover Rd, Andover, KS 67002-9787 | 2020-10-20 |
| 1629680368 | Alexander J. Clark Dds, LLC | Clinic/Center | 8340 Mission Rd Ste 118, Prairie Village, KS 66206-1362 | 2020-08-22 |
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 1760018576 | Senior Dental Care of Ms, LLC | Clinic/Center | 8500 W 110th St Ste 450, Overland Park, KS 66210-4029 | 2020-03-13 |
| 1962037523 | Beverly Moon Dmd LLC | Clinic/Center | 4601 W 109th St Ste 240, Overland Park, KS 66211-1323 | 2020-03-04 |
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1811542640 | Medical Heights Dental Center, Pa | Clinic/Center | 100 W Ross Blvd Ste 2c, Dodge City, KS 67801-7217 | 2019-08-08 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1114588639 | Evolve Family Dentistry, LLC | Clinic/Center | 1133 College Ave Ste A103, Manhattan, KS 66502-2795 | 2019-06-25 |
| 1477112563 | Wamego Dental Professionals LLC | Clinic/Center | 1519 W Us Highway 24, Wamego, KS 66547-1322 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
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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.