DR. SHELLY L. MCCOLM (NPI# 1073593992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073593992 |
| Entity Type | Individual |
| Full Name | DR. SHELLY L. MCCOLM |
| Credential | D.D.S. |
| Practice Address |
12 W 8th St Lawrence KS 66044-2602 |
| Mailing Address |
5005 Inge Ct Lawrence KS 66049-4835 |
| Practice Telephone | 7858320809 |
| Mailing Telephone | 7858321782 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
KS7061 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 7061 | KS7061 | 01 |
| Street Address |
12 W 8TH ST |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649543554 | The Braces Place | Dentist | 335 Common St, Lawrence, MA 01840-1262 | 2012-02-23 |
| 1538360342 | Maurice George Theberge | Dentist | 50 Prospect Street, Suite 402, Lawrence, MA 01841 | 2007-05-30 |
| 1427268036 | Don Gordy Dds Pa | Dentist | 721 Wakarusa Drive, Ste 102, Lawrence, KS 66049-4797 | 2007-05-23 |
| 1336252139 | N. Daniel Ranjbar | Dentist | 4828 Quail Crest Pl, Lawrence, KS 66049-3838 | 2006-08-16 |
| 1760025480 | Shira Bernstein | Dentist | 122 Harrison St, Lawrence, NY 11559-1932 | 2019-10-25 |
| 1184075038 | Merrimack Valley Orthodontics LLC | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2016-06-22 |
| 1407221377 | Ana Serrenho | Dentist | 355 Essex St, Lawrence, MA 01840-1410 | 2015-12-03 |
| 1578939351 | Jie Liu | Dentist | 234 Essex St, Lawrence, MA 01840-1549 | 2015-08-17 |
| 1235542903 | Audra Buckley Reynoso | Dentist | 100 Amesbury St, Suite 110, Lawrence, MA 01840-1321 | 2014-06-10 |
| 1922303668 | Lawrence Braces, P.C. | Dentist | 355 Essex St, Lawrence, MA 01840-1410 | 2011-01-11 |
| Find all providers in LAWRENCE | ||||
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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.