KARNISH PEDIATRIC DENTISTRY (NPI# 1164042990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164042990 |
Entity Type | Organization |
Organization Name | KARNISH PEDIATRIC DENTISTRY |
Practice Address |
1414 N Kennedy Ave Ste 101 Shawnee OK 74801-4761 |
Mailing Address |
Po Box 3142 Shawnee OK 74802-3142 |
Practice Telephone | 5805852005 |
Mailing Telephone | 5802213979 |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-04-22 |
Authorized Official Name | DR. SARAH KARNISH (DENTIST/OWNER) |
Authorized Official Telephone | 5802213979 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Other Name | Type Code |
---|---|
Karnish Pediatric Dentistry | Doing Business As Name - Organization |
Street Address |
1414 N KENNEDY AVE STE 101 |
City | SHAWNEE |
State | OK |
Zip Code | 74801-4761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
Find all providers in zip 74801 |
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 |
---|---|---|---|---|
1831489954 | Tieg Bryant Selberg | Dentist | 6810 Silverheel St, Shawnee, KS 66226-5300 | 2011-04-11 |
1053922385 | Jenkins Pediatric Dentistry | Dentist | 6810 Silverheel St, Shawnee, KS 66226-5300 | 2020-08-11 |
1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
1538183520 | Michael Leblanc | Dentist | 6850 Hilltop Rd, Suite 160, Shawnee, KS 66226-3532 | 2006-07-26 |
1194749192 | Jill C Jenkins | Dentist | 6850 Hilltop Rd, Suite 160, Shawnee, KS 66226-3532 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932684297 | Jemima Poitevien, D.d.s., P.l.l.c. | Dentist | 4225 W Memorial Rd Ste 101-b, Oklahoma City, OK 73134-1761 | 2018-10-02 |
1275057887 | Bobby D. Cheatham,d.d.s.,pc | Dentist | 2800 N Kelly Ave Ste 200, Edmond, OK 73003-3004 | 2017-07-26 |
1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
1093062911 | Pediatric Dental Partners Pllc | Dentist | 5940 Nw Expressway Ste 200, Oklahoma City, OK 73132-5101 | 2012-08-09 |
1235419409 | Edmond Pediatric and Teen Dentistry | Dentist | 3824 S. Boulevard, Suite 110, Edmond, OK 73013 | 2011-08-19 |
1508023383 | Thai-an Doan D.d.s. P.C. | Dentist | 11318 N May Ave, Suite B, Oklahoma City, OK 73120-5860 | 2008-05-20 |
1104091479 | Martha L Garzon Dmd, Ms | Dentist | 609 S Kelly Ave Ste C1, Edmond, OK 73003-5743 | 2008-04-28 |
1881868719 | Jeffrey J. Ahlert, D.d.s., P.l.l.c. | Dentist | 3614 Se Kentucky St, Bartlesville, OK 74006-2323 | 2008-04-22 |
1194900555 | Chanda A. Kennemer, Dds, PC | Dentist | 1405 S Sangre Rd, Stillwater, OK 74074-1832 | 2008-01-04 |
1619162054 | Robert Brian Molloy | Dentist | 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 | 2007-09-10 |
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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.