MEDICAL HEIGHTS DENTAL CENTER, PA (NPI# 1811542640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811542640 |
| Entity Type | Organization |
| Organization Name | MEDICAL HEIGHTS DENTAL CENTER, PA |
| Practice Address |
100 W Ross Blvd Ste 2c Dodge City KS 67801-7217 |
| Practice Telephone | 6202256555 |
| Mailing Telephone | 6202256555 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | DR. KELLY HENRICHS (OWNER) |
| Authorized Official Telephone | 6202256555 |
| 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 |
| Other Name | Type Code |
|---|---|
| KELLY HENRICHS DDS | Former Legal Business Name - Organization |
| Street Address |
100 W ROSS BLVD STE 2C |
| City | DODGE CITY |
| State | KS |
| Zip Code | 67801-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294589 | Jeremy L Luthi | Physical Therapist | 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 | 2017-06-05 |
| 1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
| 1588934038 | Janet R Giefer | Occupational Therapy Assistant | 510 W Frontview, Dodge City, KS 67801 | 2011-12-30 |
| 1982855565 | Sandra M Herder | Nurse Practitioner | 100 Ross Blvd Suite 2a, Dodge City, KS 67801 | 2008-10-01 |
| 1689820300 | Gloria Andrade | Counselor | 207 W Spruce, Dodge City, KS 67801 | 2008-08-13 |
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1881710879 | Kathleen Joan Warner-long | Counselor | 506 Avenue L, Dodge City, KS 67801 | 2007-03-21 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1083774954 | Sherron S Mcreynolds | Registered Nurse | 101 Plaza Terrace, Dodge City, KS 67801 | 2006-12-11 |
| 1477621159 | Dodge City Dental Care | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| Find all providers in zip 67801 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265743934 | David M. Bunkall, D.d.s., M.s., P.a. | Clinic/Center | 705 1st Ave Ste B, Dodge City, KS 67801-4437 | 2010-06-28 |
| 1801278098 | Katie Asbjornson, D.d.s., P.a. | Clinic/Center | 105 Layton St, Dodge City, KS 67801-2444 | 2015-06-24 |
| 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 |
| 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 |
| 1235608902 | Luke Joliff, LLC | Clinic/Center | 11551 Granada St Ste 200, Leawood, KS 66211-1444 | 2018-11-24 |
| Find all providers with the same taxonomy | ||||
| City | DODGE CITY |
| Zip Code | 67801 |
Please comment or provide details below to improve the information on MEDICAL HEIGHTS DENTAL CENTER, PA.
| 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.