DR. LISA R GONZALES (NPI# 1205953742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205953742 |
| Entity Type | Individual |
| Full Name | DR. LISA R GONZALES |
| Credential | D.D.S. |
| Practice Address |
10203 Leavenworth Road Kansas City KS 66109 |
| Practice Telephone | 9132993999 |
| Practice Fax Number | 9132993165 |
| Mailing Telephone | 9132993999 |
| Mailing Fax Number | 9132993165 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6418 | KS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528624970 | Lisa Gonzales | Registered Nurse | 32050 Sw Willamette Way E, Wilsonville, OR 97070-9596 | 2019-05-11 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1700155348 | Lisa Gonzales | Occupational Therapy Assistant | 118 S College St, La Habra, CA 90631-5503 | 2011-12-28 |
| 1356954150 | Lisa Anne Gonzales | Counselor | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2020-08-31 |
| 1871143065 | Lisa Marie Gonzales | Counselor | 3701 W Commerce St, San Antonio, TX 78207-3611 | 2019-09-19 |
| 1750713244 | Lisa Gonzales | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2013-08-06 |
| 1881945178 | Lisa Rose Anne Gonzales | Counselor | 17800 Us Highway 18, Apple Valley, CA 92307 | 2012-09-26 |
| 1275801425 | Lisa Elizabeth Gonzales | Advanced Practice Midwife | 77 Nealy Ave, 633d Medical Group, Joint Base Langley- Eustis, VA 23665-2040 | 2011-12-02 |
| 1679893275 | Lisa Gail Gonzales | Counselor | 202 Central Ave Se, Albuquerque, NM 87102-3460 | 2010-06-04 |
| 1518138536 | Lisa Marie Gonzales | Nurse Practitioner | 5650 Blazer Pkwy, Dublin, OH 43017-3562 | 2008-03-18 |
| Street Address |
10203 LEAVENWORTH ROAD |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796688 | Lance Miller | Pharmacist | 10510 Parallel, Kansas City, KS 66109 | 2015-12-09 |
| 1386016293 | Tara Newton | Community Health Worker | 2821 N 91 St, Kansas City, KS 66109 | 2015-10-30 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1033559570 | Legends Dental Group, P.a. | Dentist | 10818 Parallel Parkway, Kansas City, KS 66109 | 2013-06-28 |
| 1215277694 | Kristin Kathleen Porter | Dietitian, Registered | 10124 Hutton Road, Kansas City, KS 66109 | 2013-02-22 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| 1356642276 | Anjali Doshi | Dentist | 10818 Parallel Pkwy, Kansas City, KS 66109 | 2010-11-09 |
| 1841411675 | Wendy Ann Brakhage | Chiropractor | 2300 Hutton Road, Suite 101, Kansas City, KS 66109 | 2007-05-01 |
| 1497898290 | Shannon R Margherio | Physical Therapist | 1801 N 98th Street, Kansas City, KS 66109 | 2007-02-14 |
| 1710900519 | Larry Lee Libs | Chiropractor | 3228 N 109th Pl, Kansas City, KS 66109 | 2006-07-25 |
| Find all providers in zip 66109 | ||||
| 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 |
|---|---|---|---|---|
| 1104434463 | Vaidehi Trivedi | Dentist | 10818 Parallel Pkwy # Ks, Kansas City, KS 66109-3649 | 2020-07-22 |
| 1063052777 | Threemondds LLC | Dentist | 7524 State Ave, Kansas City, KS 66112-2816 | 2020-01-10 |
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1134772940 | Alicia Finney | Dentist | 912 E 29th St Apt 1e, Kansas City, MO 64109-1167 | 2019-07-20 |
| 1790345155 | Dina Abdul Musheinesh | Dentist | 8043 Wornall Rd Ste 203, Kansas City, MO 64114-5822 | 2019-06-18 |
| 1083177695 | Connie Lou White | Dentist | 650 East 25th Street, School of Dentistry, Kansas City, MO 64108-2784 | 2019-04-10 |
| 1649763962 | Anna Irene Jobe | Dentist | 10203 Leavenworth Rd, Kansas City, KS 66109-3005 | 2018-06-11 |
| 1407348238 | Eilise Marie O'connor | Dentist | 411 Nichols Rd Ste 200, Kansas City, MO 64112-2015 | 2018-06-06 |
| 1588182778 | Gladstone Dental Michael Gioia Dds PC | Dentist | 5106 Ne Antioch Rd, Kansas City, MO 64119-2502 | 2017-09-07 |
| 1548790629 | Tyler Koehn | Dentist | 5901 Nw 63rd Ter Ste 150, Kansas City, MO 64151-3602 | 2017-06-12 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66109 |
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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.