DR. JOHN MICHAEL KIDWELL (NPI# 1720099161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720099161 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL KIDWELL |
| Credential | DDS |
| Practice Address |
6020 Sherry Ln Dallas TX 75225-6401 |
| Practice Telephone | 2143693206 |
| Practice Fax Number | 2143630714 |
| Mailing Telephone | 2143693206 |
| Mailing Fax Number | 2143630714 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11195 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194182071 | John Kidwell | Counselor | 19 E Elizabeth Ave, Bethlehem, PA 18018-6520 | 2016-01-22 |
| 1447694856 | John Thomas Kidwell | Colon & Rectal Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2013-04-29 |
| Street Address |
6020 SHERRY LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75225-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063741080 | Derek Michael Albus | Dentist | 6020 Sherry Ln, Dallas, TX 75225-6401 | 2009-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1659872224 | Brandy Morgan | Specialist/Technologist | 8100 Lomo Alto Drive, 200, Dallas, TX 75225 | 2018-02-28 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1508304627 | Paula Miltenberger, Ph.d., Pa | Psychologist | 5949 Sherry Lane, Suite 752, Dallas, TX 75225 | 2017-02-09 |
| 1194184564 | Monitoring Concepts Iom Group | Specialist/Technologist, Other | 4536 Lovers Lane, Ste 410, Dallas, TX 75225 | 2016-02-15 |
| 1285017343 | Leilani So Wiltz | Pediatrics | 3 Abbotsford Court, Dallas, TX 75225 | 2015-07-07 |
| 1932599511 | Anthony Ramos | Chiropractor | 6211 W. Northwest Hwy, Suite C-159, Dallas, TX 75225 | 2015-02-03 |
| 1750635405 | Edith R Fekete | Psychiatry & Neurology | 6335 W. Northwest Hwy. Apt. 1918, Dallas, TX 75225 | 2012-11-02 |
| 1982998019 | Child and Family Assessment Center, Pllc | Psychologist | 8117 Preston Rd., Ste. 300, Dallas, TX 75225 | 2011-06-06 |
| 1184950420 | Mwh Chiropractic | Chiropractor | 6170 Sherry Lane, Suite 300, Dallas, TX 75225 | 2009-10-21 |
| Find all providers in zip 75225 | ||||
| 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 |
|---|---|---|---|---|
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1619589629 | Bahar Iranmehr | Dentist | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 |
| 1598377657 | John Arthur Bounds IIi | Dentist | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 |
| 1023628633 | Allison Yost | Dentist | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 |
| 1669082905 | Jacob Hornberger | Dentist | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | Dentist | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 |
| 1316577463 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 | 2020-01-16 |
| 1598312589 | Laura Gabriela Choque | Dentist | 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 | 2019-08-23 |
| 1326694894 | Blake Collier Burnstad | Dentist | 7013 Kenwell St, Dallas, TX 75209-4840 | 2019-08-12 |
| 1538713011 | Preston Rsvi Pllc | Dentist | 13536 Preston Rd Ste 108, Dallas, TX 75240-5227 | 2019-08-01 |
| Find all providers in DALLAS | ||||
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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.