DR. JEFFREY DAVIS ANDERSON (NPI# 1700223708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700223708 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVIS ANDERSON |
| Credential | D.D.S. |
| Practice Address |
5754 Antioch Rd Merriam KS 66202-2015 |
| Mailing Address |
5601 Holmes St Kansas City MO 64110-2727 |
| Practice Telephone | 9136717066 |
| Mailing Telephone | 8168102453 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2015-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61140 | KS | Dental Providers |
| N | 122300000X | Dentist | 2015000298 | MO | Dental Providers |
| N | 122300000X | Dentist | D9859 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| Street Address |
5754 ANTIOCH RD |
| City | MERRIAM |
| State | KS |
| Zip Code | 66202-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629639430 | Jeremy Johnston | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2019-06-23 |
| 1255825444 | Dan Hawley | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2018-06-20 |
| 1134611411 | Megan Bierle | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2018-06-03 |
| 1457700650 | Taylor Sutherland | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2016-06-08 |
| 1861805947 | Robert Fechner | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863224 | Megan O'rear | Physical Therapist | 6907 Shawnee Mission Parkway, Ste. 207, Overland Park, KS 66202 | 2020-02-18 |
| 1114558194 | Erika Lynne Cool | Advanced Practice Midwife | 6131 Terrydale St., Merriam, KS 66202 | 2020-01-29 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1831736099 | Lida Rose Keller | Registered Nurse | 6907 Shawnee Mission Parkway, Suite 207, Overland Park, KS 66202 | 2019-12-06 |
| 1215586235 | Stacy Grabowski | Physical Therapist | 6907 Shawnee Mission Pkwy, Ste. 207, Overland Park, KS 66202 | 2019-09-11 |
| 1932582566 | David Christian Murphy | Internal Medicine | 5030 Glenwood Dr., Mission, KS 66202 | 2015-07-01 |
| 1043609068 | Matthew M Christopher | Physical Therapy Assistant | 6616 Santa Fe Dr, Overland Park, KS 66202 | 2015-01-14 |
| 1710385786 | Tiffany Lorraine Eckland | Occupational Therapist | 8115 Shawnee Mission Parkway, Ste. #100, Merriam, KS 66202 | 2014-12-08 |
| 1720490261 | Antioch Dentistry Pa | Dentist | 5750 Antioch Road, Merriam, KS 66202 | 2014-06-02 |
| 1730529710 | Sierra Lynn Wright | Social Worker | 6000 Lamar Avenue, Suite 130, Mission, KS 66202 | 2013-07-05 |
| Find all providers in zip 66202 | ||||
| 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 |
|---|---|---|---|---|
| 1457700650 | Taylor Sutherland | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2016-06-08 |
| 1861805947 | Robert Fechner | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2014-06-06 |
| 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 | ||||
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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.