PARKLANE DENTAL PA (NPI# 1528424702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528424702 |
| Entity Type | Organization |
| Organization Name | PARKLANE DENTAL PA |
| Other Organization Name | ADVENTURE DENTAL AND VISION |
| Practice Address |
980 S Oliver St Wichita KS 97218-3216 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 3162213008 |
| Practice Fax Number | 3162213015 |
| Mailing Telephone | 7199558896 |
| Mailing Fax Number | 7199553470 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | SHAUN URBANOZO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7193232362 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
61154 | KS | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS DENTAL BOARD LICENSE NUMBER | 61154 | 01 |
| Other Name | Type Code |
|---|---|
| Adventure Dental and Vision | Doing Business As Name - Organization |
| Street Address |
980 S OLIVER ST |
| City | WICHITA |
| State | KS |
| Zip Code | 97218-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255783338 | Anna Marie Stephenson | Optometrist | 980 S Oliver St, Wichita, KS 67218-3216 | 2016-07-12 |
| 1073970885 | Adventure Vision Parklane LLC | Optometrist | 980 S Oliver St, Wichita, KS 67218-3216 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| Find all providers in zip 97218 | ||||
| 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 |
|---|---|---|---|---|
| 1417435330 | Joseph P Houlik, Dds, LLC | Dentist | 2759 N Tyler Rd, Wichita, KS 67205-8711 | 2018-08-02 |
| 1982199790 | Ashton N Pargman | Dentist | 8150 E Douglas Ave Ste 10, Wichita, KS 67206-2362 | 2018-06-25 |
| 1801330980 | Smile Connections Family Dental, L.L.C. | Dentist | 250 N Tyler Rd, Wichita, KS 67212-3753 | 2016-12-08 |
| 1295286474 | Davis & Dold Dental, LLC | Dentist | 7570 W 21st St N Ste 1050b, Wichita, KS 67205-1772 | 2016-10-21 |
| 1194173955 | Kati Irene Beam | Dentist | 2222 N Greenwich Rd Ste 400, Wichita, KS 67226-8252 | 2016-06-01 |
| 1942662580 | Eric S. Farmer, Dds, P.a. | Dentist | 7520 W Village Cir, Wichita, KS 67205-9362 | 2016-03-23 |
| 1053659508 | Nguyen Dmd Pa | Dentist | 9415 E Harry St Ste 606, Wichita, KS 67207-5082 | 2013-01-17 |
| 1083992655 | Kristyn Leanne Barker | Dentist | 2046 N Oliver Ave, Wichita, KS 67208-2503 | 2011-07-29 |
| 1336427582 | Wichita State University | Dentist | 2838 N. Oliver, Wichita, KS 67220-0157 | 2011-07-21 |
| 1952564031 | Aaron Leatherman | Dentist | 8015 Peach Tree Ln, Wichita, KS 67207-1139 | 2008-07-08 |
| Find all providers in WICHITA | ||||
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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.