DR. NICK A. PRATER (NPI# 1568404770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568404770 |
| Entity Type | Individual |
| Full Name | DR. NICK A. PRATER |
| Credential | D.D.S. |
| Practice Address |
13095 S Mur Len Rd Suite 160 Olathe KS 66062-1230 |
| Practice Telephone | 9137646222 |
| Practice Fax Number | 9137645826 |
| Mailing Telephone | 9137646222 |
| Mailing Fax Number | 9137645826 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5536 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS OF MISSOURI | 08345013 | 01 |
| KS | UNITED CONCORDIA | 579420 | 01 |
| KS | BLUE CROSS OF KANSAS | 069961 | 01 |
| Street Address |
13095 S MUR LEN RD SUITE 160 |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275817082 | Dulin Chiropractic, Pa | Chiropractor | 13095 S Mur Len Rd, Ste 170, Olathe, KS 66062-1425 | 2011-09-29 |
| 1205122900 | Miley Chiropractic, Pa | Chiropractor | 13095 S Mur Len Rd, Ste #170, Olathe, KS 66062-1425 | 2011-06-22 |
| 1801002035 | Serc of Johnson County, L.L.C. | Durable Medical Equipment & Medical Supplies | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1230 | 2007-05-15 |
| 1598873697 | Kim Paulette Miley | Chiropractor | 13095 S Mur Len Rd, Ste 170, Olathe, KS 66062-1250 | 2006-08-28 |
| 1548205958 | Kara A Jansen | Physical Therapy Assistant | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1230 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| 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 |
|---|---|---|---|---|
| 1790021459 | Jenkins & Leblanc | Dentist | 15151 S Blackbob Rd, Olathe, KS 66062-3301 | 2012-12-27 |
| 1063487387 | Emily C. Day | Dentist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2006-02-21 |
| 1578536934 | David John Cobb | Dentist | 975 N Mur Len, Ste A, Olathe, KS 66062 | 2006-02-08 |
| 1477531903 | John Thomas Fales Jr. | Dentist | 13496 S Arapaho Dr, Olathe, KS 66062-1553 | 2006-01-05 |
| 1033582648 | David J Cobb, Dds, Pa | Dentist | 975 N Mur Len Rd, Suite A, Olathe, KS 66062-1810 | 2015-11-04 |
| 1508276866 | Casey Lee Rhoads | Dentist | 15151 S Blackbob Rd, Olathe, KS 66062-3301 | 2014-05-07 |
| 1235477688 | Fales Pediatric Dentistry | Dentist | 13496 S Arapaho Dr, Olathe, KS 66062-1553 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786932 | Robinson T Kiser Dmd LLC | Dentist | 2511 S 4th St, Leavenworth, KS 66048-4512 | 2018-10-17 |
| 1942795976 | Blue Valley Pediatric Dentistry LLC | Dentist | 7560 W 160th St, Overland Park, KS 66085 | 2018-06-22 |
| 1871016089 | Topeka Pediatric Dentistry LLC | Dentist | 2445 Sw Wanamaker Rd Ste 103, Topeka, KS 66614-5470 | 2017-07-19 |
| 1770014904 | Matthew R. Healy D.d.s., P.a. | Dentist | 3933 N Maize Rd, Suite 200, Maize, KS 67101-9618 | 2017-03-21 |
| 1710428180 | Little Apple Pediatric Dentistry, LLC | Dentist | 1133 College Ave Ste D164, Manhattan, KS 66502-2940 | 2017-03-17 |
| 1285016774 | Elizabeth Mary Powers | Dentist | 4320 W 6th St Ste 101, Lawrence, KS 66049-3613 | 2015-06-22 |
| 1568880581 | Conrad Parks | Dentist | 4601 W 109th St Ste 217, Overland Park, KS 66211-1314 | 2014-04-07 |
| 1881937399 | Vanessa Renee Axelsen | Dentist | 7560 W 160th Street, Overland Park, KS 66085-6608 | 2013-04-03 |
| 1316287139 | Lawrence Pediatric Dentistry LLC | Dentist | 346 Maine, Lawrence, KS 66044-1393 | 2013-02-15 |
| 1831489954 | Tieg Bryant Selberg | Dentist | 6810 Silverheel St, Shawnee, KS 66226-5300 | 2011-04-11 |
| 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.