KAW PC (NPI# 1578750196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578750196 |
| Entity Type | Organization |
| Organization Name | KAW PC |
| Other Organization Name | CHANDLER FAMILY DENTISTRY |
| Practice Address |
1516 S Iowa Chandler OK 74834 |
| Mailing Address |
Po Box 249 Chandler OK 74834 |
| Practice Telephone | 4052582684 |
| Practice Fax Number | 4052585353 |
| Mailing Telephone | 4052582684 |
| Mailing Fax Number | 4052585353 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | DR. DANIEL J WILGUESS (OWNER) |
| Authorized Official Telephone | 4052582684 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5503 | OK | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5487 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS BLUE SHIELD | 310784561002 | 01 |
| OK | UNITED CONCORDIA | 01307512 | 01 |
| OK | BLUE CROSS BLUE SHIELD | 445862194001 | 01 |
| Other Name | Type Code |
|---|---|
| Chandler Family Dentistry | Doing Business As Name - Organization |
| Street Address |
1516 S IOWA |
| City | CHANDLER |
| State | OK |
| Zip Code | 74834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255595385 | Nicki L Schafer | Dentist | 1516 S Iowa, Chandler, OK 74834 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
| 1699283143 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 1116 Monvel Ave., Chandler, OK 74834 | 2018-01-18 |
| 1174995336 | Family Medicine & Urgent Care of Chandler, LLC | Nurse Practitioner | 405 N. Industrial Rd., Chandler, OK 74834 | 2015-10-28 |
| 1437481181 | Laurena Kleckner | Counselor | 112 North Kckinley Avenue, Chandler, OK 74834 | 2010-02-05 |
| 1457568719 | Oklahoma Mental Health Council | Community/Behavioral Health | 1605 E 1st St., Chandler, OK 74834 | 2007-05-17 |
| 1003038183 | Holly Melissa Shelton | Counselor | 112 N Mckinley, Chandler, OK 74834 | 2007-05-02 |
| 1235359548 | Oklahoma Mental Health Council | Community/Behavioral Health | 112 Mickley N, Chandler, OK 74834 | 2007-04-27 |
| 1215010913 | Daniel Joseph Wilguess | Dentist | 1516 South Iowa, Chandler, OK 74834 | 2006-10-24 |
| 1740394253 | Ashley Farmer | Counselor | 112 N. Mckinley, Chandler, OK 74834 | 2006-08-19 |
| 1518070267 | Stacy Renee Jones | Counselor | 112 North Mckinley, Chandler, OK 74834 | 2006-08-16 |
| Find all providers in zip 74834 | ||||
| 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 |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
| 1053925255 | Cactus Point Dental, Pllc | Dentist | 1300 N Mcclintock Dr Ste D10-11, Chandler, AZ 85226-7205 | 2020-09-04 |
| 1700401023 | Craig Standage | Dentist | 125 E Ray Rd, Chandler, AZ 85225-3339 | 2020-06-12 |
| 1073156709 | Martin Dental-airpark LLC | Dentist | 1775 E Queen Creek Rd Ste 130, Chandler, AZ 85286-2012 | 2019-10-25 |
| 1932754231 | Kourtney Rummel | Dentist | 3100 W Chandler Blvd Ste C, Chandler, AZ 85226-5222 | 2019-08-05 |
| 1912565177 | Novelly Family Dentistry & Orthodontics LLC | Dentist | 2171 E Pecos Rd Ste 1, Chandler, AZ 85225-6139 | 2019-06-03 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1407340854 | Ocotillo Lakes Dental Health | Dentist | 3200 S Alma School Rd Ste 103, Chandler, AZ 85248-3755 | 2018-06-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| Find all providers in CHANDLER | ||||
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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.