CAPSTONE DENTISTRY, LLC (NPI# 1508179193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508179193 |
| Entity Type | Organization |
| Organization Name | CAPSTONE DENTISTRY, LLC |
| Practice Address |
17212 Midland Dr Shawnee KS 66217 |
| Practice Telephone | 9133964800 |
| Mailing Telephone | 9133964800 |
| Mailing Fax Number | 9133964805 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |
| Authorized Official Name | DR. MICHAEL KEMMLING (PRESIDENT) |
| Authorized Official Telephone | 9133964800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
60562 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE 1 NPI | 1306007844 | 01 |
| Street Address |
17212 MIDLAND DR |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
| 1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
| 1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
| 1992749261 | Shelley D. Mayse | Social Worker | 7515 Allman Rd, Lenexa, KS 66217 | 2006-06-16 |
| Find all providers in zip 66217 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902371958 | University Family Dentistry Pllc | Clinic/Center | 20 E Dunloup Rd Ste A, Shawnee, OK 74804-3201 | 2018-10-05 |
| 1447602792 | Kansas Dental Elements LLC | Clinic/Center | 11912 Shawnee Mission Pkwy, Shawnee, KS 66216-1865 | 2016-07-11 |
| 1447441373 | Scot Shadid Dds | Clinic/Center | 3 E Macarthur St, Shawnee, OK 74804-2141 | 2007-08-06 |
| 1588202790 | Melanie M. Beck D.d.s., LLC | Clinic/Center | 17214 Midland Dr, Shawnee, KS 66217-8901 | 2019-12-18 |
| 1053968438 | In Harmony Dental Care, LLC | Clinic/Center | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216-1871 | 2019-08-21 |
| 1316432438 | Shawnee Dentistry and Braces | Clinic/Center | 2616 N Park Ave, Shawnee, OK 74804-2838 | 2018-07-01 |
| 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.