DODGE CITY DENTAL CARE (NPI# 1477621159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477621159 |
| Entity Type | Organization |
| Organization Name | DODGE CITY DENTAL CARE |
| Other Organization Name | BRUCE M JOHNSTON DDS PA & W CODY WALTERS DDS PA A DENTAL PARTNERSHIP |
| Practice Address |
2300 N 14th Street Suite 202 Dodge City KS 67801 |
| Practice Telephone | 6202252650 |
| Practice Fax Number | 6202257722 |
| Mailing Telephone | 6202252650 |
| Mailing Fax Number | 6202257722 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TONI MYERS (OFFICE MANAGER) |
| Authorized Official Telephone | 6202252650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60130 | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KS | 116721 | 01 |
| KS | UNITED CONCORDIA | KS1417934 | 01 |
| Other Name | Type Code |
|---|---|
| Bruce M Johnston DDS PA & W Cody Walters DDS PA A Dental Partnership | Former Legal Business Name - Organization |
| Street Address |
2300 N 14TH STREET SUITE 202 |
| City | DODGE CITY |
| State | KS |
| Zip Code | 67801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396813895 | Wade Cody Walters | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| 1780752345 | Bruce M Johnston | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294589 | Jeremy L Luthi | Physical Therapist | 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 | 2017-06-05 |
| 1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
| 1588934038 | Janet R Giefer | Occupational Therapy Assistant | 510 W Frontview, Dodge City, KS 67801 | 2011-12-30 |
| 1982855565 | Sandra M Herder | Nurse Practitioner | 100 Ross Blvd Suite 2a, Dodge City, KS 67801 | 2008-10-01 |
| 1689820300 | Gloria Andrade | Counselor | 207 W Spruce, Dodge City, KS 67801 | 2008-08-13 |
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1881710879 | Kathleen Joan Warner-long | Counselor | 506 Avenue L, Dodge City, KS 67801 | 2007-03-21 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1083774954 | Sherron S Mcreynolds | Registered Nurse | 101 Plaza Terrace, Dodge City, KS 67801 | 2006-12-11 |
| 1720152952 | Win M Kyi | Family Medicine | 100 Ross Blvd, Ste 2a, Dodge City, KS 67801 | 2006-11-20 |
| Find all providers in zip 67801 | ||||
| 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 |
|---|---|---|---|---|
| 1356857700 | Austin N. Hrencher, Dds, Pa | Dentist | 208 W Ross Blvd Ste B, Dodge City, KS 67801-2110 | 2017-12-21 |
| 1861788960 | First Avenue Dental, P.a. | Dentist | 2306 1st Ave, Dodge City, KS 67801-2527 | 2011-06-27 |
| 1538124367 | Allen Leroy Reynolds | Dentist | 105 Layton St, Dodge City, KS 67801-2444 | 2006-04-17 |
| 1235109620 | Richard Irl Mcfadden | Dentist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-01-26 |
| 1679554414 | Richard J. Stein Dds, Pa | Dentist | 208 W Ross Blvd, Suite B, Dodge City, KS 67801-2133 | 2005-11-09 |
| 1205285095 | Austin Nicholas Hrencher | Dentist | 208 W Ross Blvd, Suite B, Dodge City, KS 67801-2103 | 2016-06-13 |
| 1417393844 | Richard J Stein | Dentist | 208 W Ross Blvd, Suite B, Dodge City, KS 67801-2103 | 2013-05-13 |
| 1750517918 | Shawna Lynn Harris | Dentist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2009-06-02 |
| 1831219476 | Shawna L. Harris D.d.s.,p.a | Dentist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2007-03-29 |
| 1083759765 | David Williams | Dentist | 2300 N 14th St, Suite 202, Dodge City, KS 67801 | 2007-02-21 |
| Find all providers in DODGE CITY | ||||
| City | DODGE CITY |
| Zip Code | 67801 |
Please comment or provide details below to improve the information on DODGE CITY DENTAL CARE.
| 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.