MARYSVILLE DENTAL CARE LLC (NPI# 1912435389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912435389 |
| Entity Type | Organization |
| Organization Name | MARYSVILLE DENTAL CARE LLC |
| Practice Address |
1200 Broadway Marysville KS 66508-1819 |
| Practice Telephone | (785) 562-5529 |
| Mailing Telephone | 7855625529 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Authorized Official Name | CHERI HAMEL (OFFICE MANAGER) |
| Authorized Official Telephone | 7855625529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5353 | KS | Ambulatory Health Care Facilities |
| Street Address |
1200 BROADWAY |
| City | MARYSVILLE |
| State | KS |
| Zip Code | 66508-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114309838 | Brittany Katherine Owens | Dentist | 1200 Broadway, Marysville, KS 66508-1819 | 2015-06-19 |
| 1366648131 | Elizabeth Ann Chaloupek | Dentist | 1200 Broadway, Marysville, KS 66508-1819 | 2007-06-26 |
| 1942347448 | Barry M Bongers | Dentist | 1200 Broadway, Marysville, KS 66508-1819 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962466383 | Bruces Body Shop Inc | Ambulance | 410 N 6th St, Marysville, KS 66508 | 2006-04-13 |
| 1447334453 | Ar - Ex Drug Store Inc | Durable Medical Equipment & Medical Supplies | 801 Broadway, Marysville, KS 66508 | 2006-10-25 |
| 1730279480 | Blue Valley Health Care, Inc. | Skilled Nursing Facility | 1100 N 16th St, Marysville, KS 66508-1126 | 2006-10-13 |
| 1811913270 | John M Ryan | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-15 |
| 1134423304 | Linda Marie Bott | Nurse Practitioner | 1902 May St, Marysville, KS 66508-1200 | 2011-01-03 |
| 1417963133 | Fernando De La Torre Ugarte | Surgery | 1902 May St, Marysville, KS 66508-1200 | 2006-08-01 |
| 1295749067 | Community Memorial Healthcare, Inc. | Clinic/Center | 1902 May St, Marysville, KS 66508-1200 | 2006-07-28 |
| 1467475186 | John A Haefele | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-25 |
| 1629098843 | Anne C Bruna | Nurse Practitioner | 1902 May St, Marysville, KS 66508-1200 | 2006-07-20 |
| 1992725519 | Randall J Brown | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-19 |
| Find all providers in zip 66508 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1710127030 | Hyodoleemagelsenyi IIi, Pllc | Clinic/Center | 2704 -171st Pl. Ne, Suite L-101, Marysville, WA 98271-4712 | 2009-02-26 |
| 1467085225 | James H.batuk,dds,pc | Clinic/Center | 901 Michigan Ave, Marysville, MI 48040-2100 | 2020-02-19 |
| 1386203230 | Le-truong Dental 1, Inc. | Clinic/Center | 15580 Us Highway 36, Marysville, OH 43040-9415 | 2019-06-12 |
| 1639602444 | Marysville Kids Dentistry | Clinic/Center | 505 Cedar Ave Ste C3, Marysville, WA 98270-4561 | 2017-04-07 |
| 1487108437 | Daniel Hwang Dmd Pllc | Clinic/Center | 4825 Grove St, Marysville, WA 98270-4474 | 2016-08-08 |
| 1235442583 | Hsue,park&ghorbanian Pllc | Clinic/Center | 1603 Grove St, Marysville, WA 98270-4301 | 2010-07-15 |
| 1972838696 | Cam-tu Vo Dmd, Pllc | Clinic/Center | 1601 10th St, Marysville, WA 98270-4631 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071783 | David L. Foley D.d.s. Inc | Clinic/Center | 940 N Andover Rd, Andover, KS 67002-9787 | 2020-10-20 |
| 1629680368 | Alexander J. Clark Dds, LLC | Clinic/Center | 8340 Mission Rd Ste 118, Prairie Village, KS 66206-1362 | 2020-08-22 |
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 1760018576 | Senior Dental Care of Ms, LLC | Clinic/Center | 8500 W 110th St Ste 450, Overland Park, KS 66210-4029 | 2020-03-13 |
| 1962037523 | Beverly Moon Dmd LLC | Clinic/Center | 4601 W 109th St Ste 240, Overland Park, KS 66211-1323 | 2020-03-04 |
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1811542640 | Medical Heights Dental Center, Pa | Clinic/Center | 100 W Ross Blvd Ste 2c, Dodge City, KS 67801-7217 | 2019-08-08 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1114588639 | Evolve Family Dentistry, LLC | Clinic/Center | 1133 College Ave Ste A103, Manhattan, KS 66502-2795 | 2019-06-25 |
| 1477112563 | Wamego Dental Professionals LLC | Clinic/Center | 1519 W Us Highway 24, Wamego, KS 66547-1322 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 66508 |
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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.