DONALD D. MARDIS, DDS, PA (NPI# 1558781419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558781419 |
| Entity Type | Organization |
| Organization Name | DONALD D. MARDIS, DDS, PA |
| Other Organization Name | QUIVIRA DENTAL CARE |
| Practice Address |
7450 Quivira Rd Shawnee Mission KS 66216-3526 |
| Practice Telephone | 9132177536 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | LORI EDMONDS (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408468 |
| Is Organization Subpart | Y |
| Parent Organization Name | DONALD D. MARDIS, DDS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Quivira Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346585379 | Donald D. Mardis, Dds, Pa | Dentist | 7450 Quivira Rd, Shawnee Mission, KS 66216-3526 | 2012-12-03 |
| Street Address |
7450 QUIVIRA RD |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66216-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346585379 | Donald D. Mardis, Dds, Pa | Dentist | 7450 Quivira Rd, Shawnee Mission, KS 66216-3526 | 2012-12-03 |
| 1699706804 | Sean Kennedy | Dentist | 7450 Quivira Rd, Shawnee Mission, KS 66216-3526 | 2006-07-05 |
| 1619911161 | Christopher Leiszler | Dentist | 7450 Quivira Rd, Shawnee Mission, KS 66216-3526 | 2006-06-15 |
| 1336181932 | Advantage Dental Implant and Denture, P.a. | Dentist | 7450 Quivira Rd, Shawnee Mission, KS 66216-3526 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| Find all providers in zip 66216 | ||||
| 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 |
|---|---|---|---|---|
| 1215452552 | Joshua L Kiene | Dentist | 11005 W 60th St. #240, Shawnee Mission, KS 66203 | 2017-08-08 |
| 1053356956 | Jose' R. Rodriguez, D.d.s., P.a. | Dentist | 12480 W 62nd Ter, Suite 200, Shawnee Mission, KS 66216-1810 | 2006-06-17 |
| 1124486675 | Colin Boswell | Dentist | 9119 W 74th St Ste 210, Shawnee Mission, KS 66204-2229 | 2016-01-28 |
| 1912142894 | Mark S. Jensen | Dentist | 8901 W 74th St, Suite 245, Shawnee Mission, KS 66204-2238 | 2008-12-08 |
| 1376702670 | Steven Mark Vodonick | Dentist | 5638 Nieman Rd, Shawnee Mission, KS 66203-2348 | 2008-06-03 |
| 1487755005 | Mark S. Jensen, Dds, Pa | Dentist | 8901 W 74th St, Suite #245, Shawnee Mission, KS 66204-2204 | 2006-09-26 |
| 1699706804 | Sean Kennedy | Dentist | 7450 Quivira Rd, Shawnee Mission, KS 66216-3526 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290205 | Centurion/mhm/centene | Dentist | 11130 Rd E, Norton, KS 67654 | 2020-09-21 |
| 1023620523 | Shibin Yu | Dentist | 13705 Manor, Leawood, KS 66224-4523 | 2020-08-18 |
| 1770192767 | Mackenzie Colson | Dentist | 5611 W 134th Ter Apt 1718, Leawood, KS 66209-4060 | 2020-07-27 |
| 1104434463 | Vaidehi Trivedi | Dentist | 10818 Parallel Pkwy # Ks, Kansas City, KS 66109-3649 | 2020-07-22 |
| 1326656117 | Joel David Piper | Dentist | 10840 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2020-07-17 |
| 1184241044 | Celsus LLC | Dentist | 3110 Nieder Rd, Lawrence, KS 66047-1950 | 2020-06-26 |
| 1609405398 | Upcare Dental Olathe LLC | Dentist | 790 N Ridgeview Rd, Olathe, KS 66061-2900 | 2020-04-03 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1063052777 | Threemondds LLC | Dentist | 7524 State Ave, Kansas City, KS 66112-2816 | 2020-01-10 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66216 |
Please comment or provide details below to improve the information on DONALD D. MARDIS, DDS, PA.
| 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.