DR. SHANE AARON NELSON (NPI# 1619942083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619942083 |
| Entity Type | Individual |
| Full Name | DR. SHANE AARON NELSON |
| Credential | DDS |
| Practice Address |
7001 W 121st St Overland Park KS 66209-2009 |
| Mailing Address |
14973 Outlook Ln Overland Park KS 66223-2931 |
| Practice Telephone | 9133138428 |
| Practice Fax Number | 9139060800 |
| Mailing Telephone | 9133021478 |
| Mailing Fax Number | 9138979505 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN19850 | FL | Dental Providers |
| N | 122300000X | Dentist | 2016000952 | MO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7117 | KS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462813 | Shane Lee Nelson | Counselor | 288 Mill St Bldg N, Springfield, OR 97477-4597 | 2017-12-07 |
| 1114352358 | Shane Christopher Nelson | Specialist/Technologist | 1060 W Addison St, Chicago, IL 60613-4566 | 2013-09-06 |
| 1831731751 | Shane Allen Nelson | Behavior Technician | 1050 Fulton Ave Ste 235, Sacramento, CA 95825-4299 | 2019-10-11 |
| 1356628168 | Shane Michael Nelson | Massage Therapist | 413 Woodfield Dr, Piedmont, SC 29673-8373 | 2011-11-08 |
| 1780697565 | Shane L Nelson | Nurse Anesthetist, Certified Registered | 400 N Holtzclaw Ave, Chattanooga, TN 37404-1916 | 2006-08-14 |
| Street Address |
7001 W 121ST ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972636926 | Kelly Nicole Tabacchi | Dentist | 7001 W 121st St, Overland Park, KS 66209-2009 | 2007-03-13 |
| 1013087337 | Edwin Kennedy Rogers | Dentist | 7001 W 121st St, Suite 100, Overland Park, KS 66209-2009 | 2006-11-08 |
| 1487753489 | Plastic Surgical Arts Pa | Plastic Surgery | 7001 W 121st St, Suite 101, Overland Park, KS 66209-2009 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| 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 |
|---|---|---|---|---|
| 1801457395 | Pinky Kingrani | Dentist | 8033 W 159th St, Overland Park, KS 66223-2914 | 2019-06-25 |
| 1437625258 | Tho Huu Do | Dentist | 12629 W 110th Ter, Overland Park, KS 66210-1275 | 2018-10-19 |
| 1609313469 | Bluhawk Dental Group, Pa | Dentist | 8033 W 159th Street, Overland Park, KS 66085 | 2017-01-31 |
| 1215367172 | Overland Park Modern Dentistry Pa | Dentist | 13316 Metcalf Ave, Overland Park, KS 66213-2804 | 2013-11-13 |
| 1578839759 | Sunny Rajendra Patel | Dentist | 10925 Antioch Rd Ste 201, Overland Park, KS 66210-2119 | 2012-04-01 |
| 1669670568 | Winnie Lam | Dentist | 10827 Woodward St, Overland Park, KS 66210-1617 | 2007-07-03 |
| 1417150939 | Talence Taremeredzwa Kasiyamhuru | Dentist | 6916 W 135th St, Overland Park, KS 66223-4800 | 2007-06-11 |
| 1891905758 | Barry John Burgess | Dentist | 4461 Indian Creek Pkwy, Overland Park, KS 66207-4013 | 2007-05-22 |
| 1215158274 | Reginald Reif | Dentist | 9900 Hardy Dr, Overland Park, KS 66212-3483 | 2007-05-01 |
| 1306965181 | Matthew Hillman | Dentist | 14700 Metcalf Ave, Suite 110, Overland Park, KS 66223 | 2007-03-29 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.