THOMAS P O'SULLIVAN (NPI# 1861591372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861591372 |
| Entity Type | Individual |
| Full Name | THOMAS P O'SULLIVAN |
| Credential | DDS |
| Practice Address |
11111 Nall Ave Ste 106 Leawood KS 66211-1620 |
| Mailing Address |
3305 W 129th St Leawood KS 66209-1772 |
| Practice Telephone | 9133832600 |
| Mailing Telephone | 9133452102 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6128 | KS | Dental Providers |
| Street Address |
11111 NALL AVE STE 106 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209366 | Lynn Daniel Ketchum | Specialist | 11111 Nall Ave, Suite 114, Leawood, KS 66211-1925 | 2005-07-18 |
| 1508262999 | Deborah L. Carle, Ph.d., LLC | Psychologist | 11111 Nall Ave, Site 224, Leawood, KS 66211-1924 | 2014-11-12 |
| 1356783146 | Special Care Dental of Kansas, LLC | Dentist | 11111 Nall Ave, Suite 100, Leawood, KS 66211-1924 | 2013-07-23 |
| 1790127512 | Special Care Dental of Missouri LLC | Dental Hygienist | 11111 Nall Ave, Suite 100, Leawood, KS 66211-1924 | 2013-07-22 |
| 1154769735 | Elh Network, LLC | Preferred Provider Organization | 11111 Nall Ave, Suite 220, Leawood, KS 66211-1924 | 2013-06-05 |
| 1215253570 | Angela Giegerich | Nurse Practitioner | 11111 Nall Ave, Suite 222, Leawood, KS 66211-1924 | 2010-04-12 |
| 1306177696 | Ilene Beth Grunspan | Social Worker | 11111 Nall Ave, Suite 103, Leawood, KS 66211-1924 | 2010-01-26 |
| 1447486642 | Ian James Krusich | Dentist | 11111 Nall Ave, 106, Leawood, KS 66211-1924 | 2009-06-03 |
| 1750563458 | Lynn D. Ketchum, M.d. | Plastic Surgery | 11111 Nall Ave, Ste 114, Leawood, KS 66211-1625 | 2007-12-04 |
| 1861607657 | Robert R. Edwards | Dentist | 11111 Nall Ave, Suite 114, Leawood, KS 66211-1620 | 2007-05-14 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620523 | Shibin Yu | Dentist | 13705 Manor, Leawood, KS 66224-4523 | 2020-08-18 |
| 1770192767 | Mackenzie Colson | Dentist | 5611 W 134th Ter Apt 1718, Leawood, KS 66209-4060 | 2020-07-27 |
| 1427516848 | Graham Naasz | Dentist | 4861 W 134th St Ste A, Leawood, KS 66209-7826 | 2019-03-05 |
| 1841649266 | Megan Konz | Dentist | 3400 College Blvd, Ste #203, Leawood, KS 66211-1917 | 2016-06-07 |
| 1558617282 | Asha Dental LLC | Dentist | 11100 Ash St Ste 204, Leawood, KS 66211-1764 | 2012-07-31 |
| 1033424130 | Abbie Skochdopole Mcknight | Dentist | 3400 College Blvd Ste 203, Leawood, KS 66211-1917 | 2010-08-12 |
| 1588975080 | Confident Smiles, Pa | Dentist | 14109 Overbrook Rd, Leawood, KS 66224-4516 | 2010-06-29 |
| 1689998528 | Mohn & Smiley Dental LLC | Dentist | 13430 Briar St., Leawood, KS 66209 | 2010-03-22 |
| 1891920443 | Neda Ensieh Delavari | Dentist | 13450 Roe Ave, Leawood, KS 66209-3412 | 2009-05-27 |
| 1851556187 | Kenneth F. Stewart | Dentist | 12808 Cedar St, Leawood, KS 66209-1868 | 2008-07-25 |
| Find all providers in LEAWOOD | ||||
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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.