KENNETH NELKIN DDS PA (NPI# 1639272214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639272214 |
| Entity Type | Organization |
| Organization Name | KENNETH NELKIN DDS PA |
| Other Organization Name | KENNETH NELKIN |
| Practice Address |
11755 W 112th St St 200 Overland Park KS 66210 |
| Mailing Address |
13805 Hemlock St Overland Park KS 66223 |
| Practice Telephone | 9138975653 |
| Mailing Telephone | 9138975653 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH SCOTT NELKIN (DENTIST) |
| Authorized Official Telephone | 9138975653 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5632 | KS | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kenneth Nelkin | Other Name - Individual/Organization |
| Street Address |
11755 W 112TH ST ST 200 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093794711 | Brent Mayginnes | Dentist | 11755 W 112th St, Suite 200, Overland Park, KS 66210-2761 | 2006-01-11 |
| 1760798540 | Overland Park Surgical Specialties LLC | Family Medicine | 11755 W 112th St, Suite 202, Overland Park, KS 66210-2742 | 2010-08-31 |
| 1881803229 | College Park Family Care Center, P.a. | Clinic/Center | 11755 W 112th St, Ste. 101, Overland Park, KS 66210-2761 | 2007-05-22 |
| 1740248772 | College Park Family Care Center Pa | Allergy & Immunology | 11755 W 112th St, Suite 101, Overland Park, KS 66210-2761 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| 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 |
|---|---|---|---|---|
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1497315758 | Jordan Lynn Paulsen | Dentist | 14221 Metcalf Ave Ste 100, Overland Park, KS 66223-3333 | 2019-06-19 |
| 1437645025 | Joseph Daniel Geha | Dentist | 11826 W 135th St, Overland Park, KS 66221-9399 | 2018-07-06 |
| 1790279271 | Brookridge Dentistry, Pa | Dentist | 9528 Antioch Rd, Overland Park, KS 66212-4058 | 2018-06-19 |
| 1164931200 | Mina Sung | Dentist | 15408 Maple St, Overland Park, KS 66223-3262 | 2017-09-20 |
| 1679940647 | Watson Dental, LLC | Dentist | 11538 W 119th St, Overland Park, KS 66213-2002 | 2015-08-26 |
| 1215341003 | Creighton Gallagher, Dds LLC | Dentist | 8925 W 135th Street, Overland Park, KS 66221 | 2014-06-19 |
| 1225312135 | Melissa E Kusiak | Dentist | 7311 W 79th St, Overland Park, KS 66204-2908 | 2011-10-11 |
| 1568779551 | Joseph A Bellafiore | Dentist | 9921 W 116th Pl, Overland Park, KS 66210-3114 | 2010-09-12 |
| 1174754337 | Dr Gaugh Associates P A | Dentist | 8005 W 110th St Ste 212, Overland Park, KS 66210-2619 | 2009-08-05 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.