DR. ROBERT L ENNIS (NPI# 1780785550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780785550 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L ENNIS |
| Credential | D.D.S. |
| Practice Address |
3916 S. Lynn Ct. Independence MO 64055 |
| Mailing Address |
3916 S Lynn Ct Independence MO 64055-3393 |
| Practice Telephone | 8162542345 |
| Practice Fax Number | 8162541579 |
| Mailing Telephone | 8162542345 |
| Mailing Fax Number | 8162541579 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11438 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366647729 | Robert F. Ennis | Internal Medicine | 1626 Wells Ave, Suite 105, Meridian, ID 83642-4524 | 2007-06-18 |
| 1235163916 | Robert Stephan Ennis | Orthopaedic Surgery | 3455 Stallion Ln, Weston, FL 33331-3035 | 2006-07-10 |
| 1063793594 | Robert E Ennis Sr. | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2011-08-29 |
| Street Address |
3916 S. LYNN CT. |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324689 | Robert J Kern | Dentist | 4437 S River Blvd, Suite 120, Independence, MO 64055-4658 | 2005-05-30 |
| 1033486543 | Robert J Mccollum | Dentist | 4437 S River Blvd, 120, Independence, MO 64055-4660 | 2011-11-28 |
| 1417116633 | Ashoo Khanuja Dds Md Inc | Dentist | 6701 Rockside Rd, Suite #209, Independence, OH 44131-2358 | 2008-06-03 |
| 1700044633 | Ashoo Khanuja, Dds, Md | Dentist | 6701 Rockside Rd, Ste 209, Independence, OH 44131-2358 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202943 | Kansas City Oral Surgery & Implant Center | Dentist | 8771 N Platte Purchase Dr, Kansas City, MO 64155-1829 | 2020-07-15 |
| 1700403722 | Kansas City Facial and Oral Surgery, LLC | Dentist | 2931 Ne Independence Ave., Lees Summit, MO 64064-6406 | 2020-06-26 |
| 1134767866 | Courtney Ethington | Dentist | 4 West Dr Ste 170, Chesterfield, MO 63017-1793 | 2019-12-12 |
| 1184130528 | Archway Oral Surgery and Dental Implants | Dentist | 16 Hampton Village Plz Ste 200, Saint Louis, MO 63109-2128 | 2017-12-21 |
| 1780120410 | Ervin Simmons Iv Dmd LLC | Dentist | 3220 Parker Rd, Florissant, MO 63033-3733 | 2017-01-19 |
| 1437531209 | Federico Castillo Iv | Dentist | 2521 Cherry St, Kansas City, MO 64108-2750 | 2015-06-29 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| 1114347861 | Zachary L Brown | Dentist | 4700 Belleview Ave Ste L10, Kansas City, MO 64112-1360 | 2014-04-21 |
| 1265868863 | Gregory Pernoud | Dentist | 1204 E State Route 72, Rolla, MO 65401-3938 | 2013-09-16 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.