CREIGHTON GALLAGHER, DDS LLC (NPI# 1215341003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215341003 |
| Entity Type | Organization |
| Organization Name | CREIGHTON GALLAGHER, DDS LLC |
| Other Organization Name | OVERLAND PARK FAMILY DENTAL |
| Practice Address |
8925 W 135th Street Overland Park KS 66221 |
| Practice Telephone | 9134394311 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Authorized Official Name | CREIGHTON GALLAGHER (OWNER) |
| Authorized Official Telephone | 9134394311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 60784 | KS | Dental Providers |
| Other Name | Type Code |
|---|---|
| Overland Park Family Dental | Doing Business As Name - Organization |
| Street Address |
8925 W 135TH STREET |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| 1225508898 | Keaghan Michelle Shacklett | Specialist/Technologist | 13747 Cody St., Overland Park, KS 66221 | 2018-11-27 |
| 1508201963 | Jessica Mary Molstad | Nurse Practitioner | 11400 W. 135th Street, Overland Park, KS 66221 | 2013-04-29 |
| 1659687739 | Willie K Yuen | Physical Therapist | 11504 W 135th St., Performance Rehab. LLC, Overland Park, KS 66221 | 2010-08-26 |
| 1730414970 | Sue A. Klein | Physical Therapist | 11504 W. 135th St., Overland Park, KS 66221 | 2009-10-06 |
| 1538375407 | Michelle Tims | Occupational Therapist | 9101 158th St, Overland Park, KS 66221 | 2007-05-15 |
| 1124249321 | Choice of Health Pa | Chiropractor | 9120 W 135th Street, Suite 205, Overland Park, KS 66221 | 2007-05-02 |
| 1396830980 | Heartland Diabetic Supplies LLC | Non-Pharmacy Dispensing Site | 10703 W. 149th Street, Overland Park, KS 66221 | 2006-10-03 |
| 1457454589 | Michael Trenkamp | Physical Therapy Assistant | 11330 West 135th Street, Overland Park, KS 66221 | 2006-09-06 |
| Find all providers in zip 66221 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1497315758 | Jordan Lynn Paulsen | Dentist | 14221 Metcalf Ave Ste 100, Overland Park, KS 66223-3333 | 2019-06-19 |
| 1437645025 | Joseph Daniel Geha | Dentist | 11826 W 135th St, Overland Park, KS 66221-9399 | 2018-07-06 |
| 1790279271 | Brookridge Dentistry, Pa | Dentist | 9528 Antioch Rd, Overland Park, KS 66212-4058 | 2018-06-19 |
| 1164931200 | Mina Sung | Dentist | 15408 Maple St, Overland Park, KS 66223-3262 | 2017-09-20 |
| 1679940647 | Watson Dental, LLC | Dentist | 11538 W 119th St, Overland Park, KS 66213-2002 | 2015-08-26 |
| 1225312135 | Melissa E Kusiak | Dentist | 7311 W 79th St, Overland Park, KS 66204-2908 | 2011-10-11 |
| 1568779551 | Joseph A Bellafiore | Dentist | 9921 W 116th Pl, Overland Park, KS 66210-3114 | 2010-09-12 |
| 1174754337 | Dr Gaugh Associates P A | Dentist | 8005 W 110th St Ste 212, Overland Park, KS 66210-2619 | 2009-08-05 |
| 1790940872 | Antioch Dental Inc | Dentist | 8650 W 95th St Ste 2, Overland Park, KS 66212-3246 | 2008-07-28 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66221 |
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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.