DREW T NUCKOLLS (NPI# 1568957629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568957629 |
| Entity Type | Individual |
| Full Name | DREW T NUCKOLLS |
| Credential | DDS |
| Practice Address |
3417 S Meridian Ave Wichita KS 67217-2151 |
| Mailing Address |
1122 N Topeka St Wichita KS 67214-2810 |
| Practice Telephone | 3168662000 |
| Practice Fax Number | 3169779312 |
| Mailing Telephone | 3168662000 |
| Mailing Fax Number | 3168662083 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61441 | KS | Dental Providers |
| Street Address |
3417 S MERIDIAN AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67217-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659429116 | Jamie L Speth | Optometrist | 3417 S Meridian Ave, Wichita, KS 67217-2151 | 2007-01-08 |
| 1538689229 | Shonda Lynn Colella | Nurse Practitioner | 3417 S Meridian Ave, Wichita, KS 67217-2151 | 2017-06-22 |
| 1053770818 | Gracemed Health Clinic, Inc | Clinic/Center | 3417 S Meridian Ave, Wichita, KS 67217-2151 | 2016-02-22 |
| 1124417548 | Tammy Brewer | Nurse Practitioner | 3417 S Meridian Ave, Wichita, KS 67217-2151 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922383736 | Patti Jean Rogers | Pharmacist | 3150 S Seneca, Wichita, KS 67217 | 2011-10-13 |
| 1447275573 | Richard L Dopps | Chiropractor | 1001 W 47th St S, Wichita, KS 67217 | 2006-07-12 |
| 1093755811 | Dillon Companies LLC | Pharmacy | 3211 S Seneca St, Wichita, KS 67217 | 2006-06-08 |
| 1235191917 | Robert Charles Beaver | Dentist | 2860 S Seneca, Suite A, Wichita, KS 67217 | 2006-04-06 |
| 1134182686 | Twietmeyer Dentistry Pa | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2006-04-07 |
| 1053763714 | Charles Twietmeyer | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2016-07-06 |
| 1306047634 | Kate E Rohr | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2007-05-31 |
| 1568748903 | Michael Shirkey | Marriage & Family Therapist | 1903 W Anita Ave, Wichita, KS 67217-1801 | 2011-10-31 |
| 1558542035 | David M. Guerrero | Dentist | 3027 S Hiram Ave, Wichita, KS 67217-1938 | 2007-11-26 |
| 1285922658 | Kimberley R. Jones | Social Worker | 3450 S Bonn Ave, Wichita, KS 67217-2136 | 2011-07-19 |
| Find all providers in zip 67217 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1861014367 | Smile Craft Dental, LLC | Dentist | 5315 E 21st St N Ste 104, Wichita, KS 67208-1600 | 2020-05-07 |
| 1851937650 | Precision Dental West, LLC | Dentist | 3900 W Central Ave Ste 100, Wichita, KS 67203-4928 | 2019-11-27 |
| 1629622352 | Mason and Mason Dentistry, Pa | Dentist | 201 S Towne East Mall Dr Ste 101, Wichita, KS 67207-1068 | 2019-07-31 |
| 1043871445 | Avery Brooke Beard | Dentist | 13121 E 21st St N Ste 107, Wichita, KS 67230-7403 | 2019-06-26 |
| 1912565011 | Cara Lee Detmer | Dentist | 8404 W 13th St N Ste 200, Wichita, KS 67212-2978 | 2019-06-03 |
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1972000420 | Newmarket Smiles Dentistry | Dentist | 10240 W 29th St N Ste 102, Wichita, KS 67205-7914 | 2018-04-11 |
| 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.