DR. JIMMY LEE SHADID (NPI# 1316057185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316057185 |
| Entity Type | Individual |
| Full Name | DR. JIMMY LEE SHADID |
| Credential | DDS |
| Practice Address |
3367 E 47th South Wichita KS 67216 |
| Practice Telephone | 3165245851 |
| Mailing Telephone | 3165245851 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4428 | KS | Dental Providers |
| Street Address |
3367 E 47TH SOUTH |
| City | WICHITA |
| State | KS |
| Zip Code | 67216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104108422 | Howard W Hackney | Pharmacist | 5555 S. Broadway, Wichita, KS 67216 | 2011-09-13 |
| 1205877644 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 4747 S Broadway Ave, Wichita, KS 67216 | 2006-06-09 |
| 1790399376 | Miresha Andrews | Massage Therapist | 2851 S Mead St, Wichita, KS 67216-1112 | 2020-09-01 |
| 1629534250 | Mandilyn Coffman | Pharmacist | 2627 S Santa Fe St, Wichita, KS 67216-1132 | 2019-02-19 |
| 1780245522 | Monday T Akintuyi | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1740841493 | Compassionate Home Health LLC | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1114460813 | Ariel Clementi | Social Worker | 1201 E Jump St, Wichita, KS 67216-1360 | 2016-11-29 |
| 1205319472 | Blue Moon Therapy LLC | Clinic/Center | 400 N Woodlawn, Suite 100, Wichita, KS 67216-1360 | 2018-09-12 |
| 1871106740 | Stevie Jonae Metts | Technician | 1207 E Del Mar St, Wichita, KS 67216-1535 | 2020-08-28 |
| 1376001677 | Holly Lynn Paine | Counselor | 3446 S Ida St, Wichita, KS 67216-1558 | 2019-03-05 |
| Find all providers in zip 67216 | ||||
| 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 |
|---|---|---|---|---|
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1861014367 | Smile Craft Dental, LLC | Dentist | 5315 E 21st St N Ste 104, Wichita, KS 67208-1600 | 2020-05-07 |
| 1851937650 | Precision Dental West, LLC | Dentist | 3900 W Central Ave Ste 100, Wichita, KS 67203-4928 | 2019-11-27 |
| 1629622352 | Mason and Mason Dentistry, Pa | Dentist | 201 S Towne East Mall Dr Ste 101, Wichita, KS 67207-1068 | 2019-07-31 |
| 1043871445 | Avery Brooke Beard | Dentist | 13121 E 21st St N Ste 107, Wichita, KS 67230-7403 | 2019-06-26 |
| 1912565011 | Cara Lee Detmer | Dentist | 8404 W 13th St N Ste 200, Wichita, KS 67212-2978 | 2019-06-03 |
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1972000420 | Newmarket Smiles Dentistry | Dentist | 10240 W 29th St N Ste 102, Wichita, KS 67205-7914 | 2018-04-11 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on DR. JIMMY LEE SHADID.
| 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.