TIMOTHY M PIVONKA (NPI# 1609842061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609842061 |
| Entity Type | Individual |
| Full Name | TIMOTHY M PIVONKA |
| Credential | DDS |
| Practice Address |
361 Grant Ave Junction City KS 66441-4201 |
| Mailing Address |
Po Box 1107 Junction City KS 66441-1107 |
| Practice Telephone | 7852384711 |
| Practice Fax Number | 7852384260 |
| Mailing Telephone | 7852384711 |
| Mailing Fax Number | 7852384260 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 60329 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 0008976 | 05 | |
| KS | BLUE CROSS/BLUE SHIELD | 117182 | 01 |
| Street Address |
361 GRANT AVE |
| City | JUNCTION CITY |
| State | KS |
| Zip Code | 66441-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752743 | Shannon M Jeffrey | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441-4201 | 2005-10-03 |
| 1558979104 | Craig Douglas Lawless | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2020-07-20 |
| 1174185631 | Murray Trenton Heikes | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2019-07-05 |
| 1376010793 | Melody Anne Morse | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441-4201 | 2018-10-24 |
| 1588150759 | Tracy L B Sabo | Dietitian, Registered | 361 Grant Ave, Junction City, KS 66441-4201 | 2018-07-10 |
| 1912422080 | Kimberly Lynne Patro | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441 | 2017-08-09 |
| 1023530979 | Taylor James Pratt | Dentist | 361 Grant Ave, Junction City, KS 66441-4201 | 2017-07-12 |
| 1811438021 | Kelley Ann Herron | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441 | 2017-03-20 |
| 1134669955 | Shari Kay Lagrange-aulich | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2017-02-27 |
| 1568811511 | Megan H Seidl | Family Medicine | 361 Grant Ave, Junction City, KS 66441-4201 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914129 | New Leaf Counseling | Social Worker | 929 S Washington St, Junction City, KS 66441 | 2020-08-28 |
| 1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
| 1740712298 | Janet Kim Clark | Counselor | 839 N. Eisenhower Drive, Junction City, KS 66441 | 2017-04-03 |
| 1528507258 | Mellevore, LLC | Occupational Therapist | 935 E 4th St, Junciton City, KS 66441 | 2017-02-14 |
| 1407212186 | Kaila Lynne Mrozinski | Speech-Language Pathologist | 104 S Washington St., Junction City, KS 66441 | 2016-01-11 |
| 1235517822 | Mark Stenstrom | Veterinarian | 106 N Eisenhower Dr, Junction City, KS 66441 | 2015-05-14 |
| 1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
| 1538504816 | Cheryl Annette Morgan | Respiratory Therapist, Certified | 1102 St. Marys Road, Junction City, KS 66441 | 2013-05-01 |
| 1073809604 | Donita M Ryff | Physical Therapy Assistant | 104 S. Washington Ave., Junction City, KS 66441 | 2011-06-22 |
| 1073834602 | Tessa Gutierrez | Counselor | 929 S Washington St., Junction City, KS 66441 | 2010-06-17 |
| Find all providers in zip 66441 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530979 | Taylor James Pratt | Dentist | 361 Grant Ave, Junction City, KS 66441-4201 | 2017-07-12 |
| 1174629323 | Mike Snowbarger | Dentist | 361 Grant Ave, Junction City, KS 66441 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982759 | Brendan Daugherty | Dentist | 10040 Woodland Dr, Lenexa, KS 66220-3802 | 2020-08-12 |
| 1477164705 | Christopher Taylor Lippold | Dentist | 10 E 9th St Ste C, Lawrence, KS 66044-2600 | 2020-08-11 |
| 1164032090 | Brett Taylor Lyman | Dentist | 2215 Broadway Ave, Great Bend, KS 67530-3917 | 2020-08-05 |
| 1841809449 | Kailah Marie Willms | Dentist | 4111 W 6th St, Lawrence, KS 66049-4609 | 2020-07-29 |
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1457960452 | Nuvia Jeanette Lemus-diaz | Dentist | 2001 Central Ave, Dodge City, KS 67801-6410 | 2020-07-24 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1487262283 | Austin Rickabaugh | Dentist | 8911 State Ave, Kansas City, KS 66112-1645 | 2020-07-17 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1225652332 | Jasmyn Christine Thole | Dentist | 401 S Clairborne Rd Ste A, Olathe, KS 66062-1735 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | JUNCTION CITY |
| Zip Code | 66441 |
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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.