SIH MOKAN, P.A. (NPI# 1710496518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710496518 |
| Entity Type | Organization |
| Organization Name | SIH MOKAN, P.A. |
| Practice Address |
4400 Shawnee Mission Pkwy Ste 208 Fairway KS 66205-2518 |
| Practice Telephone | (913) 254-4065 |
| Practice Fax Number | 9137471001 |
| Mailing Telephone | 9132544065 |
| Mailing Fax Number | 9137471001 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | GREGORY TULL (OWNER/PRINCIPAL) |
| Authorized Official Telephone | 9132544065 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
4400 SHAWNEE MISSION PKWY STE 208 |
| City | FAIRWAY |
| State | KS |
| Zip Code | 66205-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010777 | Aime Andrade | Dental Hygienist | 4400 Shawnee Mission Pkwy Ste 208, Fairway, KS 66205-2518 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178521 | Shawnee Mission Medical Center, Inc. | Clinic/Center | 5675 Roe Blvd, Roeland Park, KS 66205 | 2020-09-15 |
| 1609352624 | Jennifer Leigh Sturgeon | Nurse Practitioner | 2650 Shawnee Mission Pkwy Ste 2201, Westwood, KS 66205 | 2018-07-12 |
| 1720500382 | Andrew James Holzschuh | Pharmacist | 4206 W 54th St, Roeland Park, KS 66205 | 2017-07-14 |
| 1700307857 | Kc Family Dental, LLC | Clinic/Center | 4034 Shawnee Mission Parkway, Fairway, KS 66205 | 2017-06-29 |
| 1740719004 | Smile, It's Healthy L.L.C. | Dentist | 4400 Shawnee Mission Parkway, Suite 208, Fairway, KS 66205 | 2017-06-08 |
| 1821448630 | Heather Hoelscher | Registered Nurse | 4919 W 58th St, Roeland Park, KS 66205 | 2016-06-13 |
| 1487995080 | Courtney Calder | Pharmacist | 2724 W. 53rd St., Hen House, Fairway, KS 66205 | 2013-03-06 |
| 1760732267 | Catherine Wilson Mapes | Social Worker | 2717 West 50th Street, Westwood, KS 66205 | 2012-09-12 |
| 1477819217 | David Scoville | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5328 Canterbury Rd, Fairway, KS 66205 | 2012-04-05 |
| 1053560870 | Isabel Diana Luna Camden | Counselor | 5450 Buena Vista St, Roeland Park, KS 66205 | 2008-09-17 |
| Find all providers in zip 66205 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700307857 | Kc Family Dental, LLC | Clinic/Center | 4034 Shawnee Mission Parkway, Fairway, KS 66205 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071783 | David L. Foley D.d.s. Inc | Clinic/Center | 940 N Andover Rd, Andover, KS 67002-9787 | 2020-10-20 |
| 1629680368 | Alexander J. Clark Dds, LLC | Clinic/Center | 8340 Mission Rd Ste 118, Prairie Village, KS 66206-1362 | 2020-08-22 |
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 1760018576 | Senior Dental Care of Ms, LLC | Clinic/Center | 8500 W 110th St Ste 450, Overland Park, KS 66210-4029 | 2020-03-13 |
| 1962037523 | Beverly Moon Dmd LLC | Clinic/Center | 4601 W 109th St Ste 240, Overland Park, KS 66211-1323 | 2020-03-04 |
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1811542640 | Medical Heights Dental Center, Pa | Clinic/Center | 100 W Ross Blvd Ste 2c, Dodge City, KS 67801-7217 | 2019-08-08 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1114588639 | Evolve Family Dentistry, LLC | Clinic/Center | 1133 College Ave Ste A103, Manhattan, KS 66502-2795 | 2019-06-25 |
| 1477112563 | Wamego Dental Professionals LLC | Clinic/Center | 1519 W Us Highway 24, Wamego, KS 66547-1322 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SIH MOKAN, P.A..
| 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.