DR. COLIN BOSWELL (NPI# 1124486675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124486675 |
| Entity Type | Individual |
| Full Name | DR. COLIN BOSWELL |
| Credential | DDS |
| Practice Address |
9119 W 74th St Ste 210 Shawnee Mission KS 66204-2229 |
| Mailing Address |
4980 Nottingham Way Anchorage AK 99503-6934 |
| Practice Telephone | 9136482266 |
| Practice Fax Number | 9137681944 |
| Mailing Telephone | (641) 780-7792 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
61356 | KS | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
61356 | KS | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 407 S Clairborne Rd Ste 104, Olathe, KS 660621744 | 9136482266 | 9137681944 |
| Street Address |
9119 W 74TH ST STE 210 |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972751642 | Hibba A Haider | Pediatrics | 9119 W 74th St Ste 210, Shawnee Mission, KS 66204-2229 | 2008-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| 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 |
|---|---|---|---|---|
| 1043786932 | Robinson T Kiser Dmd LLC | Dentist | 2511 S 4th St, Leavenworth, KS 66048-4512 | 2018-10-17 |
| 1942795976 | Blue Valley Pediatric Dentistry LLC | Dentist | 7560 W 160th St, Overland Park, KS 66085 | 2018-06-22 |
| 1871016089 | Topeka Pediatric Dentistry LLC | Dentist | 2445 Sw Wanamaker Rd Ste 103, Topeka, KS 66614-5470 | 2017-07-19 |
| 1770014904 | Matthew R. Healy D.d.s., P.a. | Dentist | 3933 N Maize Rd, Suite 200, Maize, KS 67101-9618 | 2017-03-21 |
| 1710428180 | Little Apple Pediatric Dentistry, LLC | Dentist | 1133 College Ave Ste D164, Manhattan, KS 66502-2940 | 2017-03-17 |
| 1285016774 | Elizabeth Mary Powers | Dentist | 4320 W 6th St Ste 101, Lawrence, KS 66049-3613 | 2015-06-22 |
| 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 |
| 1316287139 | Lawrence Pediatric Dentistry LLC | Dentist | 346 Maine, Lawrence, KS 66044-1393 | 2013-02-15 |
| 1790021459 | Jenkins & Leblanc | Dentist | 15151 S Blackbob Rd, Olathe, KS 66062-3301 | 2012-12-27 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
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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.