MICHAEL JAMES KANELLIS (NPI# 1518061209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518061209 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES KANELLIS |
| Credential | DDS MS |
| Practice Address |
322 S Dental Science Bldg Iowa City IA 52242-1001 |
| Mailing Address |
257 S Dental Science Bldg Iowa City IA 52242-1001 |
| Practice Telephone | 3193841139 |
| Practice Fax Number | 3193841785 |
| Mailing Telephone | 3193357431 |
| Mailing Fax Number | 3193357155 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
06521 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1007047 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316389919 | Michael Eldan Kanellis | Dentist | 2351 Pyramid Way Ste 22, Sparks, NV 89431-2163 | 2013-07-23 |
| Street Address |
322 S DENTAL SCIENCE BLDG |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528162526 | John V Doering | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1518150689 | Marcy Lee Zwart | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-08-22 |
| 1275732968 | Marie Eve Asselin | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-07-13 |
| 1215059092 | Paula L Weistroffer | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-04-04 |
| 1518005743 | Keri Collison Stahle | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-02-01 |
| 1295885432 | Grant Michael Vanbeek | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-01-11 |
| 1619057387 | David Christopher Johnsen | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1043390719 | Dennis Joseph Weir | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1033299797 | Deborah S Schekle | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1013097781 | Cynthia Kay Christensen | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528483716 | Peter Joseph Stanley | Dentist | 201 Dental Science Bldg S., Iowa City, IA 52242-1001 | 2014-02-24 |
| 1023265170 | Cody S Johnson | Dentist | 201 Dental Science S, Iowa City, IA 52242-1001 | 2008-08-20 |
| 1083878763 | Donald Leslie Chi | Dentist | 2664 Hillside Dr, Iowa City, IA 52245-4808 | 2008-07-11 |
| 1992917181 | Yousef Mohammed Yousef | Dentist | 201 Dsb, University of Iowa, Iowa City, IA 52242 | 2007-05-03 |
| 1992926851 | Robert Burns | Dentist | 201 Dental Science S Bldg South, Iowa City, IA 52242-1001 | 2007-05-01 |
| 1902923576 | Kecia Suzanne Leary | Dentist | 201 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2007-03-26 |
| 1639557028 | Amy Barbara Lesch | Dentist | 201 Dental Science S, Iowa City, IA 52242 | 2015-05-18 |
| 1306093067 | Jerry Dean Walker | Dentist | 201 Dental Science S, College of Dentistry, Iowa City, IA 52242-1001 | 2008-08-25 |
| 1205006061 | Matthew Kelly Geneser | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2008-03-08 |
| 1356476048 | Barton John Thompson | Dentist | 1031 Wade St, Iowa City, IA 52240 | 2007-02-22 |
| Find all providers in IOWA CITY | ||||
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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.