BLUE VALLEY PEDIATRIC DENTISTRY LLC (NPI# 1942795976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942795976 |
| Entity Type | Organization |
| Organization Name | BLUE VALLEY PEDIATRIC DENTISTRY LLC |
| Practice Address |
7560 W 160th St Overland Park KS 66085 |
| Mailing Address |
7560 W 160th Street Overland Park KS 66085 |
| Practice Telephone | 9132322708 |
| Practice Fax Number | 9132322718 |
| Mailing Telephone | 9132322708 |
| Mailing Fax Number | 5032322718 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | VANESSA RENEE AXELSEN (OWNER) |
| Authorized Official Telephone | 9132322708 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
719 | KS | Dental Providers |
| Street Address |
7560 W 160TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609313469 | Bluhawk Dental Group, Pa | Dentist | 8033 W 159th Street, Overland Park, KS 66085 | 2017-01-31 |
| 1720338098 | Bsp Kansas | Clinic/Center | 16052 Foster Street, Overland Park, KS 66085 | 2012-09-14 |
| 1578821625 | Vicki Sandra Kofender | Family Medicine | 8320 Aberdeen Rd, Stilwell, KS 66085 | 2012-04-26 |
| 1164665816 | Lisa Mary Wingfield | Speech-Language Pathologist | 2360 W. 162nd St., Stilwell, KS 66085 | 2009-04-10 |
| 1013072313 | Linda L Dorzab | Internal Medicine | 3464 W 171st St, Stilwell, KS 66085 | 2006-12-27 |
| 1881937399 | Vanessa Renee Axelsen | Dentist | 7560 W 160th Street, Overland Park, KS 66085-6608 | 2013-04-03 |
| 1306847678 | Remi D Khu | Nurse Anesthetist, Certified Registered | 5204 W 162nd St, Stilwell, KS 66085-7811 | 2005-08-09 |
| 1831372739 | Andrea Marie Bennion | Speech-Language Pathologist | 16548 Birch St, Overland Park, KS 66085-7843 | 2007-12-13 |
| 1912432097 | Cosentino Group Inc | Pharmacy | 8051 W 160th St, Overland Park, KS 66085-8138 | 2017-04-26 |
| 1538287800 | Deborah Sue Proctor | Specialist | 8631 W 194th Ter, Stilwell, KS 66085-8204 | 2007-03-26 |
| Find all providers in zip 66085 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568880581 | Conrad Parks | Dentist | 4601 W 109th St Ste 217, Overland Park, KS 66211-1314 | 2014-04-07 |
| 1881937399 | Vanessa Renee Axelsen | Dentist | 7560 W 160th Street, Overland Park, KS 66085-6608 | 2013-04-03 |
| 1609076694 | Smiles Dentistry for Kids, LLC | Dentist | 14700 Metcalf Ave Ste 110, Overland Park, KS 66223-2204 | 2007-07-19 |
| 1689893737 | Glenn V Hemberger | Dentist | 8575 W 110th St Ste 310, Overland Park, KS 66210-2774 | 2007-04-25 |
| 1306861190 | Nicole Hawkinson | Dentist | 6540 W 95th St, Overland Park, KS 66212-1435 | 2006-07-13 |
| 1790774164 | William Harold Doyle | Dentist | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1621 | 2005-10-19 |
| 1437616547 | Sweet Tooth Pediatric Dentistry & Orthodontic Specialists LLC | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2019-02-25 |
| 1578978581 | Wayne Dobbins | Dentist | 7381 W 133rd St Ste 303, Overland Park, KS 66213-4779 | 2014-06-27 |
| 1689084311 | Parks Children's Dentistry | Dentist | 4601 W 109th St, Suite 217, Overland Park, KS 66211-1318 | 2014-05-02 |
| 1881886943 | John P Roth | Dentist | 14465 Metcalf Ave, Overland Park, KS 66223-2990 | 2007-08-13 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66085 |
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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.