OLATHE DENTAL GROUP, PA (NPI# 1891153557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891153557 |
| Entity Type | Organization |
| Organization Name | OLATHE DENTAL GROUP, PA |
| Other Organization Name | OLATHE SMILES DENTISTRY |
| Practice Address |
15281 W 119th St Olathe KS 66062-5290 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 9133532259 |
| Practice Fax Number | 9135533013 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. ROBERT J FECHNER (OWNER) |
| Authorized Official Telephone | 9133532259 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Olathe Smiles Dentistry | Doing Business As Name - Organization |
| Street Address |
15281 W 119TH ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-5290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245756675 | Adetunji Alabi Sijuwade | Dentist | 15281 W 119th St, Olathe, KS 66062-5290 | 2017-08-17 |
| 1477082428 | Theresa Ann Rawalt | Dentist | 15281 W 119th St, Olathe, KS 66062-5290 | 2017-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| 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 |
|---|---|---|---|---|
| 1609405398 | Upcare Dental Olathe LLC | Dentist | 790 N Ridgeview Rd, Olathe, KS 66061-2900 | 2020-04-03 |
| 1497225643 | Nickie L. Perry, Dds, Pa | Dentist | 304 S Clairborne Rd Ste 100, Olathe, KS 66062-4107 | 2018-11-30 |
| 1891207122 | Ridgeview Family Dental Pa | Dentist | 18130 W 119th St, Olathe, KS 66061-9532 | 2017-10-26 |
| 1427587872 | Matthew J Kolarik | Dentist | 16103 W. 135th St, Olathe, KS 66062 | 2017-06-08 |
| 1356791974 | Elizabeth Baldwin Beals | Dentist | 16093 W 135th St Ste B, Olathe, KS 66062-1507 | 2016-06-14 |
| 1750602637 | David Raul Vasquez | Dentist | 10408 S Ridgeview Rd, Olathe, KS 66061-6438 | 2010-06-15 |
| 1679709364 | Ryan William Bucher | Dentist | 975 N Murlen Rd, Suite B, Olathe, KS 66062-1810 | 2009-06-08 |
| 1801089552 | Gloria E Einhellig | Dentist | 1807 South Ridgeview Road, Olathe, KS 66062 | 2007-08-24 |
| 1417072885 | Caryl Earp | Dentist | 11132 S Lone Elm Rd, Olathe, KS 66061-9434 | 2007-03-21 |
| 1043344567 | Ira Ivan Neufeld | Dentist | 1709 S Mur Len Rd, Olathe, KS 66062-2611 | 2007-03-15 |
| Find all providers in OLATHE | ||||
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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.