IAN R KUKLENSKI DDS PC (NPI# 1881112068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881112068 |
Entity Type | Organization |
Organization Name | IAN R KUKLENSKI DDS PC |
Practice Address |
8435 Clint Dr Belton MO 64012-5330 |
Practice Telephone | (816) 331-5900 |
Mailing Telephone | 8163315900 |
Enumeration Date | 2017-09-07 |
Last Update Date | 2017-09-07 |
Authorized Official Name | IAN KUKLENSKI (OWNER) |
Authorized Official Telephone | 8163315900 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
20170221247 | MO | Ambulatory Health Care Facilities |
Street Address |
8435 CLINT DR |
City | BELTON |
State | MO |
Zip Code | 64012-5330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952599797 | Brendan Lee Duede | Dentist | 8435 Clint Dr, Belton, MO 64012-5330 | 2007-10-05 |
1982122164 | Ian Kuklenski | Dentist | 8435 Clint Dr, Belton, MO 64012-5330 | 2017-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
1518400290 | Ti-carnegie Village, LLC | Skilled Nursing Facility | 105 Bernard Drive, Belton, MO 64012 | 2016-11-29 |
1720432305 | Erin Washington | Specialist/Technologist | 801 W. North Ave, Belton, MO 64012 | 2016-04-20 |
1558726844 | Catherine Smith | Specialist/Technologist | 17065 Us-71, Belton, MO 64012 | 2015-12-31 |
1982077673 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 630 E. Markey Parkway, Belton, MO 64012 | 2015-11-04 |
1326484858 | Amanda Mccune | Nurse Practitioner | 1400 E. North Avenue, Belton, MO 64012 | 2013-05-10 |
1376895094 | Alex Sharifian,dds,. Belton Modern Dentistry, P.c | Dentist | 1731 East North Avenue, Belton, MO 64012 | 2012-10-04 |
1912260910 | Lindsey Belt Emergency Physicians, LLC | Emergency Medicine | 17065 S. 71 Highway, Belton, MO 64012 | 2012-06-25 |
1376810598 | Erica Renee Bourbon | Nurse Practitioner | 17065 S. 71 Hwy, Belton, MO 64012 | 2011-11-17 |
1790073450 | Dale David Laird | Ophthalmology | 30 Hever Knoll, Loch Lloyd, MO 64012 | 2011-07-15 |
Find all providers in zip 64012 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033643770 | Belton Family Dental Pllc | Clinic/Center | 525 N Main St Ste 200, Belton, TX 76513-3031 | 2017-04-19 |
1619418175 | Arnett Dental | Clinic/Center | 101 Running Fox Ln, Belton, SC 29627-8299 | 2017-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
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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.