DR. ADAM JOHN RETALLICK (NPI# 1760703425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760703425 |
| Entity Type | Individual |
| Full Name | DR. ADAM JOHN RETALLICK |
| Credential | D.D.S. |
| Practice Address |
333 S Seth Child Rd Manhattan KS 66502-3003 |
| Mailing Address |
11113 W 122nd Ter Overland Park KS 66213-1951 |
| Practice Telephone | 7853202277 |
| Practice Fax Number | 7853202182 |
| Mailing Telephone | 9132209367 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
60625 | KS | Dental Providers |
| Street Address |
333 S SETH CHILD RD |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225241243 | William Patton | Dentist | 1133 College Avenue, Building D, Suite 110, Manhattan, KS 66502 | 2007-05-07 |
| 1215079371 | Christopher D. Smith, Dds Pa | Dentist | 1133 College Ave, Manhattan, KS 66502-2770 | 2007-02-13 |
| 1679620066 | William R. Patton, D.d.s., M.s., P.a. | Dentist | 1133 College Ave, Building D, Suite 110, Manhattan, KS 66502-2770 | 2007-01-05 |
| 1831276997 | Christopher Dean Smith | Dentist | 1133 College Ave, Bldg. D, Ste. 110, Manhattan, KS 66502-2770 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417476847 | Hillside Endodontics LLC | Dentist | 215 S. Hillside, Wichita, KS 67211-2128 | 2017-09-18 |
| 1588185748 | Anthony A Altomare | Dentist | 11409 Ash St Ste A, Leawood, KS 66211-1753 | 2017-06-28 |
| 1073045902 | Amy Linn Vermeer | Dentist | 4601 W 109th St Ste 250, Overland Park, KS 66211-1314 | 2017-03-30 |
| 1114475324 | Jeffrey R Burroughs Dds LLC | Dentist | 5525 W 119th St Ste 215, Overland Park, KS 66209-3724 | 2016-09-16 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1568890515 | Perry Endodontics LLC | Dentist | 215 S Hillside St, Wichita, KS 67211-2128 | 2013-10-29 |
| 1194049940 | Topeka Endodontics | Dentist | 6231 Sw 29th St Ste 300, Topeka, KS 66614-4684 | 2010-03-23 |
| 1548424799 | Christopher Gene Budig | Dentist | 13340 Metcalf Ave, Overland Park, KS 66213-2804 | 2008-07-16 |
| 1255526091 | Professional Endodontics | Dentist | 7570 W 21st St N Ste 1042b, Wichita, KS 67205-1763 | 2007-09-13 |
| 1538374616 | Daniel Richard Loftus | Dentist | 2501 Canterbury Dr, Hays, KS 67601-2296 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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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.