SHOAL CREEK PEDIATRIC DENTISTRY, L.L.C. (NPI# 1295998144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295998144 |
| Entity Type | Organization |
| Organization Name | SHOAL CREEK PEDIATRIC DENTISTRY, L.L.C. |
| Practice Address |
9051 Ne 81st Terrace Suite 220 Kansas City MO 64158 |
| Practice Telephone | 8167815437 |
| Mailing Telephone | 8167815437 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | DR. DAVID SCOTT THOMAS (PRESIDENT) |
| Authorized Official Telephone | 8167815437 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2005034207 | MO | Dental Providers |
| Street Address |
9051 NE 81ST TERRACE SUITE 220 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861695090 | D. Scott Thomas | Dentist | 9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1083135008 | Garrett Leland Coffelt | Physical Therapist | 9223 Ne 152 Highway, Kansas City, MO 64158 | 2017-06-29 |
| 1336500537 | Danielle Leeper | Dentist | 9101 Ne 82nd Ter, Kansas City, MO 64158 | 2016-03-15 |
| 1780056135 | Bryan Watanabe Dds Liberty Dental Group PC | Dentist | 8291 N Booth Avenue, Kansas City, MO 64158 | 2015-10-26 |
| 1235551771 | Julie G. Vantasell | Nurse Practitioner | 9151 Ne 81st, Ste 105, Kansas City, MO 64158 | 2014-01-17 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1558659920 | Massage Heights Shoal Creek | Health Maintenance Organization | 9225 Ne 152 Hwy, Liberty, MO 64158 | 2011-07-19 |
| 1245427954 | Maureen Graham Giraldo | Social Worker | 9601 Ne Barry Rd Ste 220, Kansas City, MO 64158 | 2007-09-26 |
| 1538262688 | Richard Bradley Gaik | Dentist | 8568 N Church Rd, Kansas City, MO 64158 | 2006-09-06 |
| 1598878779 | Michael Laird Bledsoe | Preventive Medicine | 8880 Ne 82nd Terrace, Mosaic Life Care, Kansas City, MO 64158 | 2006-08-15 |
| Find all providers in zip 64158 | ||||
| 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 |
|---|---|---|---|---|
| 1811408479 | Waldo Pediatric Dentistry | Dentist | 8043 Wornall Rd Ste 202, Kansas City, MO 64114-5822 | 2017-10-22 |
| 1932552528 | Gerard Feldhaus Dds PC | Dentist | 415 E 69th Ter, Kansas City, MO 64131-1330 | 2016-07-19 |
| 1679873434 | Shane Alan Jenks | Dentist | 8291 N Booth Ave, Kansas City, MO 64158-7202 | 2010-10-27 |
| 1396961637 | Kurt A Aarons | Dentist | 4411 Belleview Ave, Kansas City, MO 64111-3516 | 2007-04-17 |
| 1851447502 | Mary Le | Dentist | 13541 Madison Ave, Kansas City, MO 64145-1669 | 2007-01-26 |
| 1639797780 | Stefanie Curtis | Dentist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-06 |
| 1912530478 | Kansas City Pediatric Dentistry LLC | Dentist | 3801 Southwest Trfy, Kansas City, MO 64111-2902 | 2020-02-12 |
| 1548720295 | Colby Brad Beck | Dentist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2019-03-20 |
| 1699263533 | Kansas Dental Team LLC | Dentist | 7848 State Ave, Kansas City, KS 66112-2417 | 2018-04-26 |
| 1639684079 | Midtown Pediatric Dentistry | Dentist | 3315 Gillham Plz, Kansas City, MO 64109-1745 | 2017-12-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64158 |
Please comment or provide details below to improve the information on SHOAL CREEK PEDIATRIC DENTISTRY, L.L.C..
| 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.