JESSICA NIEDEREE (NPI# 1508271834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508271834 |
| Entity Type | Individual |
| Full Name | JESSICA NIEDEREE |
| Credential | DMD |
| Practice Address |
4746 Belleview Ave Kansas City MO 64112 |
| Mailing Address |
4746 Belleview Ave Kansas City MO 64112-1315 |
| Practice Telephone | 8165318740 |
| Practice Fax Number | 3167762980 |
| Mailing Telephone | 8165318740 |
| Mailing Fax Number | 3167762980 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 61005 | KS | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2016027871 | MO | Dental Providers |
| Street Address |
4746 BELLEVIEW AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982726840 | Steven C. Mingos | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2007-04-04 |
| 1477032845 | Coleton Allen Caldwell | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2018-08-07 |
| 1215484993 | David Silverstein | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2016-09-09 |
| 1811378003 | Amy Lynne Schrader | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2015-06-12 |
| 1568699270 | Jana M Kortje | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2009-06-20 |
| 1689833519 | Blair Edgington | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2008-06-05 |
| 1649479981 | Suman Chand | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2007-07-17 |
| 1912029893 | Dr. Steven C. Mingos & Associates, LLC | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2007-04-04 |
| 1780706275 | Nellie Kim-weroha | Dentist | 4746 Belleview Ave, Kansas City, MO 64112-1315 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634209 | Jackson Health Supplies | Durable Medical Equipment & Medical Supplies | 4741 Central St., #527, Kansas, MO 64112 | 2017-08-09 |
| 1376784835 | Midtown Family Medicine PC | Family Medicine | 4620 J. C. Nichols Parkway, Suite 405, Kansas City, MO 64112 | 2009-03-13 |
| 1356502041 | Kasey Lawrence Call | Dentist | 4700 Bellview, Suite L10, Kansas City, MO 64112 | 2008-06-24 |
| 1154488872 | Joyce M Tobiasen | Psychologist | 1 Ward Parkway, Ste. 107, Kansas City, MO 64112 | 2007-01-02 |
| 1457446577 | Gary Patrick Morgan | Dentist | 801 W 47th Street, Ste 408, Kansas City, MO 64112 | 2006-10-04 |
| 1942393541 | Midwest Christian Counseling Center | Voluntary or Charitable | 4800 Main, Suite G29, Kansas City, MO 64112 | 2006-10-02 |
| 1154436715 | Gregory John Stelzer | Dentist | 315 Nichols Rd 198, Kansas City, MO 64112 | 2006-08-21 |
| 1477583136 | James Garrett Bunton | Dentist | 4635 Wyandotte, Suite 200, Kansas City, MO 64112 | 2006-07-05 |
| 1629207709 | Anna Maria Bellatin PC | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 64112 | 2009-07-09 |
| 1043456718 | Fowler C. Jones, Ed D Limited Liability Company | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 64112 | 2008-12-30 |
| Find all providers in zip 64112 | ||||
| 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 | 64112 |
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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.