DR. HALCYON L INNISS (NPI# 1891153789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891153789 |
| Entity Type | Individual |
| Full Name | DR. HALCYON L INNISS |
| Credential | DDS |
| Practice Address |
361 Grant Ave Junction City KS 66441-4201 |
| Practice Telephone | 7852384711 |
| Mailing Telephone | 8324802415 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61715 | KS | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401415407 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 8324802415 | |
| 4038 Thomas Nelson Hwy, Arrington, VA 229222302 | 8324802415 |
| Street Address |
361 GRANT AVE |
| City | JUNCTION CITY |
| State | KS |
| Zip Code | 66441-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752743 | Shannon M Jeffrey | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441-4201 | 2005-10-03 |
| 1558979104 | Craig Douglas Lawless | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2020-07-20 |
| 1174185631 | Murray Trenton Heikes | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2019-07-05 |
| 1376010793 | Melody Anne Morse | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441-4201 | 2018-10-24 |
| 1588150759 | Tracy L B Sabo | Dietitian, Registered | 361 Grant Ave, Junction City, KS 66441-4201 | 2018-07-10 |
| 1912422080 | Kimberly Lynne Patro | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441 | 2017-08-09 |
| 1023530979 | Taylor James Pratt | Dentist | 361 Grant Ave, Junction City, KS 66441-4201 | 2017-07-12 |
| 1811438021 | Kelley Ann Herron | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441 | 2017-03-20 |
| 1134669955 | Shari Kay Lagrange-aulich | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2017-02-27 |
| 1568811511 | Megan H Seidl | Family Medicine | 361 Grant Ave, Junction City, KS 66441-4201 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914129 | New Leaf Counseling | Social Worker | 929 S Washington St, Junction City, KS 66441 | 2020-08-28 |
| 1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
| 1740712298 | Janet Kim Clark | Counselor | 839 N. Eisenhower Drive, Junction City, KS 66441 | 2017-04-03 |
| 1528507258 | Mellevore, LLC | Occupational Therapist | 935 E 4th St, Junciton City, KS 66441 | 2017-02-14 |
| 1407212186 | Kaila Lynne Mrozinski | Speech-Language Pathologist | 104 S Washington St., Junction City, KS 66441 | 2016-01-11 |
| 1235517822 | Mark Stenstrom | Veterinarian | 106 N Eisenhower Dr, Junction City, KS 66441 | 2015-05-14 |
| 1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
| 1538504816 | Cheryl Annette Morgan | Respiratory Therapist, Certified | 1102 St. Marys Road, Junction City, KS 66441 | 2013-05-01 |
| 1073809604 | Donita M Ryff | Physical Therapy Assistant | 104 S. Washington Ave., Junction City, KS 66441 | 2011-06-22 |
| 1073834602 | Tessa Gutierrez | Counselor | 929 S Washington St., Junction City, KS 66441 | 2010-06-17 |
| Find all providers in zip 66441 | ||||
| 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 |
|---|---|---|---|---|
| 1871758516 | Marion George Abbick | Dentist | 719 W 6th St, Suite One, Junction City, KS 66441-5103 | 2008-07-22 |
| 1417084104 | David A. Craft | Dentist | 340 W 7th St, Junction City, KS 66441-3054 | 2007-02-28 |
| 1982751095 | Total Care Dentistry | Dentist | 903 W. 6th Street, Junction City, KS 66441 | 2007-01-04 |
| 1174632236 | Larry Tate Mcgary | Dentist | 903 W 6th St, Junction City, KS 66441-3228 | 2006-08-30 |
| 1053421966 | Jonathan G. Foshay | Dentist | 1021 Juniper St, Junction City, OR 97448-1935 | 2006-08-30 |
| 1023045747 | Gordon K Bullock | Dentist | 582 Laurel St, Junction City, OR 97448-1271 | 2006-06-27 |
| 1649247289 | Michael Joseph Mcdonnell | Dentist | 923 W 6th St, Junction City, KS 66441 | 2006-03-02 |
| 1871566158 | Rik G Vande Riet | Dentist | 828 West 6th St., Junction City, KS 66441 | 2006-02-08 |
| 1598736381 | James Kevin Bongers | Dentist | 1038 W Ash St, Junction City, KS 66441-3462 | 2006-01-30 |
| 1912348087 | Karma L Weeden | Dentist | 361 Grant Ave, Junction City, KS 66441-4201 | 2013-07-17 |
| Find all providers in JUNCTION CITY | ||||
| City | JUNCTION CITY |
| Zip Code | 66441 |
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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.