JERRY R NOSSAMAN


Address: 831 Vermont St, Lawrence, KS 66044-2665
Phone: 7858436060

JERRY R NOSSAMAN (NPI# 1730116237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730116237
Entity Type Individual
Full Name JERRY R NOSSAMAN
Credential D.D.S.
Practice Address 831 Vermont St
Lawrence
KS 66044-2665
Mailing Address 1116 West Hills Pkwy
Lawrence
KS 66044
Practice Telephone 7858436060
Practice Fax Number 7858434335
Mailing Telephone 7858427181
Mailing Fax Number 7858434335
Enumeration Date 2006-06-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 4549 KS Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS BCBS OF KS 116938 01
KS BCBS OF KC 36600015 01

Office Location

Street Address 831 VERMONT ST
City LAWRENCE
State KS
Zip Code 66044-2665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750351227 Kent E. Dobbins O.d. & Jacob W. Letourneau O.d., P.a. Optometrist 831 Vermont St, Lawrence, KS 66044-2665 2006-01-25
1841808664 Lisa Kay Tomasu Optometrist 831 Vermont St, Lawrence, KS 66044-2665 2020-07-17
1477991792 Lesley Nellor Dentist 831 Vermont St, Lawrence, KS 66044-2665 2013-06-08
1790985034 Jacob W Letourneau Optometrist 831 Vermont St, Lawrence, KS 66044-2665 2007-07-24
1215058979 Charles R Pohl Optometrist 831 Vermont St, Lawrence, KS 66044-2665 2007-04-02
1740367515 Kent E Dobbins Optometrist 831 Vermont St, Lawrence, KS 66044-2665 2006-11-01
1447360805 Wilkerson Saunders Anderson & Nellor Dds LLC Dentist 831 Vermont St, Lawrence, KS 66044-2665 2006-08-30
1669445805 Justin Roy Anderson Dentist 831 Vermont St, Lawrence, KS 66044-2665 2006-02-08
1164493581 Brian Charles Wilkerson Dentist 831 Vermont St, Lawrence, KS 66044-2665 2006-02-01
1366413783 Susan Michelle Saunders Dentist 831 Vermont St, Lawrence, KS 66044-2665 2006-02-01
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NPI Name Taxonomy Address Enumeration
1770041766 Leslie Lynne Snow Radiology 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 2019-03-08
1316439409 Marjorie R Cooper Paschang Counselor 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 2018-06-04
1497255004 Social Perspective, LLC Social Worker 211 E. 8th Street, #c, Lawrence, KS 66044 2018-02-20
1164920955 Abby Hein Pharmacist 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 2018-01-26
1922515899 The Magnolia Institute, LLC Community/Behavioral Health 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 2018-01-02
1538615190 Atma Clinic, LLC Clinic/Center 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 2016-09-01
1497119499 Anne Ferguson Pharmacist 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 2016-04-06
1467826180 Americare At Monterey Village Assited Living LLC Assisted Living Facility 3901 Peterson Road, Lawrence, KS 66044 2015-11-18
1669886008 Spencer Harrison Psychiatry & Neurology 1130 W 4th St Ste 3200, Lawrence, KS 66044 2014-06-13
1245658715 Patrick Harper Anesthesiology 330 Arkansas St Ste 201, Lawrence, KS 66044 2014-04-02
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477164705 Christopher Taylor Lippold Dentist 10 E 9th St Ste C, Lawrence, KS 66044-2600 2020-08-11
1841809449 Kailah Marie Willms Dentist 4111 W 6th St, Lawrence, KS 66049-4609 2020-07-29
1487272530 Mariana Braga Dentist 314 Essex St Unit 203, Lawrence, MA 01840-1411 2020-07-06
1407322910 West Lawrence Dentistry, Pa Dentist 565 Wakarusa Dr Ste A, Lawrence, KS 66049-3212 2018-10-23
1629557178 Lawrence Smile Design LLC Dentist 171 S Broadway, Lawrence, MA 01843-1426 2018-08-07
1164971875 Nicholas Salava Dentist 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 2016-09-23
1013352863 Kevin Black Dentist 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 2013-05-07
1598063356 Oracare Dental Services, P.C. Dentist 122 Lawrence Ave, Lawrence, NY 11559-1442 2011-03-03
1073820395 Lawrence Family Dental Inc. Dentist 300 Essex St, Lawrence, MA 01840-1400 2010-09-08
1447486626 Kelly A Miller Dentist 545 Columbia Dr Ste 1003, Lawrence, KS 66049-2363 2009-06-02
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City LAWRENCE
Zip Code 66044

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Dataset Information

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.

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