DR. ERICA R KETCHEM (NPI# 1598256984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598256984 |
| Entity Type | Individual |
| Full Name | DR. ERICA R KETCHEM |
| Credential | DDS |
| Practice Address |
3568 Sw Market St Lees Summit MO 64082 |
| Mailing Address |
3568 Sw Market St Lees Summit MO 64082-2327 |
| Practice Telephone | 8165376161 |
| Practice Fax Number | 8165376165 |
| Mailing Telephone | 8165376161 |
| Mailing Fax Number | 8165376165 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2007019130 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
3568 SW MARKET ST |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962424283 | Mark Earl Hartter | Dentist | 3568 Sw Market St, Lees Summit, MO 64082-2327 | 2006-07-24 |
| 1083227482 | Keeley Suzanne Treece | Dentist | 3568 Sw Market St, Lees Summit, MO 64082-2327 | 2020-08-25 |
| 1053727867 | Jamie L. Thurman-taylor, D.d.s., LLC | Dentist | 3568 Sw Market St, Lees Summit, MO 64082-2327 | 2014-07-02 |
| 1992903090 | Jamie Lynn Thurman-taylor | Dentist | 3568 Sw Market St, Lees Summit, MO 64082-2327 | 2007-07-10 |
| 1447457395 | Mark E. Hartter, D.d.s., P.C. | Dentist | 3568 Sw Market St, Lees Summit, MO 64082-2327 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475357 | Core Care At Home LLC | In Home Supportive Care | 312 Southwest Greenwich Dr., Ste 184, Lees Summit, MO 64082 | 2018-01-29 |
| 1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
| 1033561030 | Kansas City Disc and Nerve Center | Chiropractor | 350 Sw Greenwich Dr., Lee's Summit, MO 64082 | 2016-07-01 |
| 1134365125 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3751 Hollywood Drive, Lees Summit, MO 64082 | 2008-12-23 |
| 1689604944 | Alicia M Bailey | Nurse Practitioner | 2325 Sw River Spring Cir, Lees Summit, MO 64082 | 2006-07-03 |
| 1407899131 | Family Care At Arbor Walk, LLC | Family Medicine | 1301 Sw Arbor Walk Blvd, Suite A, Lee's Summit, MO 64082 | 2006-06-13 |
| 1770538936 | Michelle Rene Britton-mehlisch | Family Medicine | 1301 A Arborwalk Blvd, Lees Summit, MO 64082 | 2006-05-24 |
| 1609848407 | Steven Ronsick | Internal Medicine | 741 Sw Admiral Byrd Dr, Lee's Summit, MO 64082 | 2006-02-06 |
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1518451426 | Karsyn Michelle Brettmann | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082 | 2018-06-15 |
| Find all providers in zip 64082 | ||||
| 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 |
|---|---|---|---|---|
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1871151316 | Addie Milam Luff | Dentist | 688 Se Bayberry Ln Ste 101, Lees Summit, MO 64063-4392 | 2019-05-30 |
| 1740663327 | Garret Christian Guthrie | Dentist | 1308 Ne Depot Dr, Lees Summit, MO 64086-5575 | 2015-07-01 |
| 1356750137 | Summit Lakes Dental Care, L.L.C. | Dentist | 3741 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2014-08-06 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1811285182 | Paige Covington Riddle | Dentist | 309 Sw Market St, Lees Summit, MO 64063-2315 | 2011-07-20 |
| 1437392701 | Aime Broyles | Dentist | 680 Se Bayberry Ln, Suite 105, Lees Summit, MO 64063-4386 | 2009-04-15 |
| 1134365125 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3751 Hollywood Drive, Lees Summit, MO 64082 | 2008-12-23 |
| 1366605057 | Ha Huynh Rowland | Dentist | 940 Nw Blue Pkwy Ste 100, Lees Summit, MO 64086-6074 | 2008-07-03 |
| 1063670990 | Dennis Alan Stites | Dentist | 1325 Ne Douglas, Lees Summit, MO 64086-4607 | 2008-05-28 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64082 |
Please comment or provide details below to improve the information on DR. ERICA R KETCHEM.
| 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.