KONZA ORAL AND MAXILLOFACIAL SURGERY PA (NPI# 1538220215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538220215 |
| Entity Type | Organization |
| Organization Name | KONZA ORAL AND MAXILLOFACIAL SURGERY PA |
| Practice Address |
1133 College Ave Building C Suite 200 Manhattan KS 66502-2770 |
| Mailing Address |
1133 College Ave Ste 200 Blg C Manhattan KS 66502-2756 |
| Practice Telephone | 7855397429 |
| Mailing Telephone | 7855397429 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | MS. RONNA JEAN YOUNG (OFFICE MANAGER) |
| Authorized Official Telephone | 7855397429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
1133 COLLEGE AVE BUILDING C SUITE 200 |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
| 1922615806 | Christina Guhr | Nurse Practitioner | 1133 College Ave, Manhattan, KS 66502-2770 | 2020-09-25 |
| 1417439977 | Kelli Renae Pettijohn | Physical Therapy Assistant | 1133 College Ave, Manhattan, KS 66502-2770 | 2018-08-31 |
| 1063907376 | Prism Diagnostics, LLC | Clinical Medical Laboratory | 1133 College Ave, Building C, Suite 145, Manhattan, KS 66502-2751 | 2018-06-28 |
| 1396266060 | Stacey L Marti | Physical Therapist | 1133 College Ave, Manhattan, KS 66502-2770 | 2017-07-03 |
| 1457891244 | Gilberto Magallanes | Occupational Therapy Assistant | 1133 College Ave, A213, Manhattan, KS 66502-2770 | 2017-02-28 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| 1255875852 | Dental Associates of Manhattan LLC | Dentist | 1133 College Ave, Suite D202, Manhattan, KS 66502-2770 | 2016-12-15 |
| 1457802613 | Laura Simons | Behavioral Analyst | 1133 College Ave, Manhattan, KS 66502-2770 | 2016-10-21 |
| 1528517901 | No Stone Unturned Foundation | Clinic/Center | 1133 College Ave, Suite A213, Manhattan, KS 66502-2770 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099465 | Mohammad Nomani | Dentist | 4201 Anderson Ave Ste E, Manhattan, KS 66503-7603 | 2010-03-22 |
| 1144403536 | Brendan Bell | Dentist | 2004 Clock Tower Plz # 130, Manhattan, KS 66503-6403 | 2007-12-10 |
| 1508270711 | Mohammad S. Nomani, Dds, Pa | Dentist | 1133 College Ave, Manhattan, KS 66502-2770 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362638 | Philip J Gordon Dds Pa | Dentist | 3628 W 95th St, Leawood, KS 66206-2035 | 2020-07-02 |
| 1902170483 | Matthew C. Lowe Dds Inc | Dentist | 2711 S. Rouse St., Ste A, Mt. Carmel Plaza, Pittsburg, KS 66762 | 2012-03-01 |
| 1639449259 | John R Provenzano Dds,pa | Dentist | 1515 S Clifton Ave Ste 120, Wichita, KS 67218-2951 | 2012-01-12 |
| 1013220813 | Kenneth W. Nelson, Dds, Pa | Dentist | 1919 N. Webb Rd, Wichita, KS 67206-3405 | 2010-07-21 |
| 1114162104 | Midwest Oral & Maxillofacial Surgery, Pa | Dentist | 11551 Granada Lane, 100, Leawood, KS 66211-1914 | 2008-12-05 |
| 1578724225 | Matthew C. Lowe, Dds, PC | Dentist | 2711 S Rouse St Ste A, Pittsburg, KS 66762-6621 | 2008-06-24 |
| 1114106739 | S Kirk Vincent D.d.s., L.c. | Dentist | 4811 Bob Billings Parkway, Suite A, Lawrence, KS 66049 | 2007-10-31 |
| 1992843510 | Richard Martin Oakley | Dentist | 5811 Nall Ave, Mission, KS 66202-2731 | 2007-02-03 |
| 1912077116 | Emporia Oral Surgery Lc | Dentist | 2510 W 15th Ave, Emporia, KS 66801-6102 | 2006-11-08 |
| 1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
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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.