M KATHLEEN DIBBEN (NPI# 1548468275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548468275 |
| Entity Type | Organization |
| Organization Name | M KATHLEEN DIBBEN |
| Other Organization Name | ABSOLUTE DIGNITY |
| Practice Address |
112 N Bridge St Smithville MO 64089-8176 |
| Practice Telephone | 8165326338 |
| Practice Fax Number | 8165326339 |
| Mailing Telephone | 8165326338 |
| Mailing Fax Number | 8165326339 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | M KATHLEEN DIBBEN (OWNER) |
| Authorized Official Telephone | 8165326338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 19774516 | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| ABSOLUTE DIGNITY | Doing Business As Name - Organization |
| Street Address |
112 N BRIDGE ST |
| City | SMITHVILLE |
| State | MO |
| Zip Code | 64089-8176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043771553 | Nita Ann Pridgen | Prosthetic/Orthotic Supplier | 112 N Bridge St, Smithville, MO 64089-8176 | 2019-03-27 |
| 1992917918 | Kathleen Dibben | Specialist | 112 N Bridge St, Smithville, MO 64089-8176 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1730730110 | Meritas Health Corporation | Family Medicine | 1103 S. 169 Highway, Suite C, Smithville, MO 64089 | 2019-09-26 |
| 1376090837 | Madison Bennett | Pharmacist | 1103 South 169 Highway, Smithville, MO 64089 | 2016-09-01 |
| 1578918538 | Stephanie Ann Day | Registered Nurse | 601 S. 169 Hwy, Smithville, MO 64089 | 2016-04-27 |
| 1124437009 | Lyndon Gene Throm | Pharmacist | 1103 S. 169 Hwy, Smithville, MO 64089 | 2014-08-05 |
| 1174848840 | Michael Robert Brown | Family Medicine | 1103 S. Highway, Suite C, Smithville, MO 64089 | 2010-04-06 |
| 1962653949 | Courtney Boyd | Psychologist | 9007 Ne 157th St, Smithville, MO 64089 | 2008-10-08 |
| 1306002357 | Brock Douglas Burkman | Podiatrist | 1503 S. 169 Us Hwy, Suite E, Smithville, MO 64089 | 2008-07-30 |
| 1780850719 | Anita Jewell Cockrum | Speech-Language Pathologist | 14468 S 169 Highway, Smithville, MO 64089 | 2008-04-30 |
| 1710156112 | Dowel LLC | Durable Medical Equipment & Medical Supplies | 1103 S 169 Highway, Smithville, MO 64089 | 2008-02-29 |
| Find all providers in zip 64089 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043771553 | Nita Ann Pridgen | Prosthetic/Orthotic Supplier | 112 N Bridge St, Smithville, MO 64089-8176 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
| 1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
| 1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
| 1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
| 1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
| City | SMITHVILLE |
| Zip Code | 64089 |
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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.