PARKS CHILDREN'S DENTISTRY (NPI# 1689084311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689084311 |
| Entity Type | Organization |
| Organization Name | PARKS CHILDREN'S DENTISTRY |
| Practice Address |
4601 W 109th St Suite 217 Overland Park KS 66211-1318 |
| Mailing Address |
9068 E 23rd Ave Denver CO 80238-2772 |
| Practice Telephone | 4024694386 |
| Mailing Telephone | 4024694386 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DR. CONRAD PARKS (PRESIDENT) |
| Authorized Official Telephone | 4024694386 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
61078 | KS | Dental Providers |
| Street Address |
4601 W 109TH ST SUITE 217 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656674 | David E Braverman | Ophthalmology | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2005-06-01 |
| 1164977138 | Roy K Oyer | Urology | 4601 W 109th St, Suite 314, Overland Park, KS 66211-1318 | 2016-08-19 |
| 1629488952 | Jahn E. Roedemeier, Dds, Pa | Dentist | 4601 W 109th St, Suite 320, Overland Park, KS 66211-1318 | 2014-05-08 |
| 1487078036 | David Francisco | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1003230665 | Joon Won Kim | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1598189144 | James Randall | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1932466851 | Michelle G Mchale | Dentist | 4601 W 109th St, Suite #212, Overland Park, KS 66211-1318 | 2012-04-17 |
| 1154598332 | Optical Options Cibis Ltd | Technician/Technologist | 4601 W 109th St, 100, Overland Park, KS 66211-1318 | 2008-05-15 |
| 1598930745 | Children's Eye Care, P.a. | Ophthalmology | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2008-04-29 |
| 1275703811 | Haake Family Dental LLC | Dentist | 4601 W 109th St, Suite 112, Overland Park, KS 66211-1318 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 |
|---|---|---|---|---|
| 1942795976 | Blue Valley Pediatric Dentistry LLC | Dentist | 7560 W 160th St, Overland Park, KS 66085 | 2018-06-22 |
| 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 |
| 1609076694 | Smiles Dentistry for Kids, LLC | Dentist | 14700 Metcalf Ave Ste 110, Overland Park, KS 66223-2204 | 2007-07-19 |
| 1689893737 | Glenn V Hemberger | Dentist | 8575 W 110th St Ste 310, Overland Park, KS 66210-2774 | 2007-04-25 |
| 1306861190 | Nicole Hawkinson | Dentist | 6540 W 95th St, Overland Park, KS 66212-1435 | 2006-07-13 |
| 1790774164 | William Harold Doyle | Dentist | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1621 | 2005-10-19 |
| 1437616547 | Sweet Tooth Pediatric Dentistry & Orthodontic Specialists LLC | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2019-02-25 |
| 1578978581 | Wayne Dobbins | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2014-06-27 |
| 1881886943 | John P Roth | Dentist | 14465 Metcalf Ave, Overland Park, KS 66223-2990 | 2007-08-13 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.