CANDID KANSAS, P.A. (NPI# 1609483700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609483700 |
| Entity Type | Organization |
| Organization Name | CANDID KANSAS, P.A. |
| Practice Address |
10650 Roe Ave Overland Park KS 66207-3907 |
| Practice Telephone | 8604817631 |
| Mailing Telephone | 8604817631 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | THOMAS SHANNON (DDS) |
| Authorized Official Telephone | 8604817631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
10650 ROE AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66207-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679034722 | Oks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1073074126 | Cks Care of Ks, LLC | Internal Medicine | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1588125645 | Sks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699301077 | Koeneman Psychological Services, LLC | Community/Behavioral Health | 5750 W. 95th St. Suite 220, Overland Park, KS 66207 | 2020-03-18 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1134509243 | Milburn Wheatley Hobson | Obstetrics & Gynecology | Residence 5467 W. 85 Ter., Prairie Village, KS 66207 | 2015-06-03 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1831301340 | Andrew Van Blarcom, Dds, Pa | Dentist | 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 | 2007-05-04 |
| 1336270115 | Edward D. Dallam | Dentist | 5000 W 95th St Ste 300, Prairie Village, KS 66207 | 2007-03-07 |
| 1245379809 | Willa J Kozlowski | Counselor | 5350 W. 94th Terrrace, Suite 204, Prairie Village, KS 66207 | 2007-02-06 |
| 1407994726 | Pauls Optical Company Inc | Technician/Technologist | 5352 W 95th St, Prairie Village, KS 66207 | 2007-02-01 |
| 1154484301 | The Endodontic P.C. | Dentist | 5600 West 95th St #216, Overland Park, KS 66207 | 2006-12-19 |
| Find all providers in zip 66207 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578798245 | Cameron G Walker | Dentist | 8631 W 150th St Ste 102, Overland Park, KS 66223-2294 | 2009-05-22 |
| 1588815278 | Steven L. Hechler | Dentist | 12800 Metcalf Ave., Suite #1, Overland Park, KS 66213-2622 | 2008-10-01 |
| 1548418940 | Joe Moon | Dentist | 16424 Lucille St, Overland Park, KS 66221-7032 | 2008-08-28 |
| 1497959688 | John William Michael Carter | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2007-06-12 |
| 1518048461 | Robert W Fry | Dentist | 11940 Quivira Rd, Overland Park, KS 66213-2222 | 2006-10-18 |
| 1730192469 | Starting Point Dental Services Pa | Dentist | 14465 Metcalf Ave, Overland Park, KS 66223-2990 | 2006-08-14 |
| 1235153487 | Bradley N Smith | Dentist | 11244 W 135th St, Overland Park, KS 66221-9800 | 2006-07-27 |
| 1285669994 | Heidi A Harman | Dentist | 14247 Metcalf Ave, Overland Park, KS 66223-3367 | 2006-07-11 |
| 1922549708 | Paul Joseph Hechler | Dentist | 12800 Metcalf Ave, Overland Park, KS 66213-2706 | 2017-03-14 |
| 1801277165 | Embraceable, Az LLC | Dentist | 8700 Santa Fe Dr, Overland Park, KS 66212-3654 | 2015-06-12 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66207 |
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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.