DR. CHARLES EDWARD KAVANAUGH


Address: 9401 N Oak Trfy, Suite #120, Kansas City, MO 64155-2233
Phone: 8164522206

DR. CHARLES EDWARD KAVANAUGH (NPI# 1912933235) 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) 1912933235
Entity Type Individual
Full Name DR. CHARLES EDWARD KAVANAUGH
Credential D.D.S., P.C.
Practice Address 9401 N Oak Trfy
Suite #120
Kansas City
MO 64155-2233
Practice Telephone 8164522206
Practice Fax Number 8164522247
Mailing Telephone 8164522206
Mailing Fax Number 8164522247
Enumeration Date 2006-06-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
10457 MO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MISSOURI LICENSE NUMBER 10457 01

Office Location

Street Address 9401 N OAK TRFY
SUITE #120
City KANSAS CITY
State MO
Zip Code 64155-2233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912990276 Glen C Pate Optometrist 9401 N Oak Trfy, Ste 200, Kansas City, MO 64155-2233 2005-08-23
1952673329 Paul R Torres Md PC Surgery 9401 N Oak Trfy, Suite 101, Kansas City, MO 64155-2233 2012-02-01
1649567892 Michelle L Orr Md, Inc Internal Medicine 9401 N Oak Trfy, #101, Kansas City, MO 64155-2233 2011-07-07
1811125529 Ross Reule Internal Medicine 9401 N Oak Trfy, Suite 100, Kansas City, MO 64155-2240 2009-07-01
1164548269 Eye Care, Pa Eyewear Supplier (Equipment, not the service) 9401 N Oak Trfy, Suite 200, Kansas City, MO 64155-2233 2007-03-21
1154424745 Tyler F Brundige Ophthalmology 9401 N Oak Trfy, Kansas City, MO 64155-2233 2006-09-07
1033162631 Eye Surgery Center Northland, LLC Clinic/Center 9401 N Oak Trfy, Suite 124, Kansas City, MO 64155-2233 2006-05-18
1922091297 John Charles Hagan IIi Ophthalmology 9401 N Oak Trfy, Ste 200, Kansas City, MO 64155-2233 2005-08-23
1952394223 Robert C Butcher Optometrist 9401 N Oak Trfy, Discover Vision Centers, Kansas City, MO 64155-2233 2005-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104475383 Margaret A Shetley Technician 9023 Nw Anglia Rd, Kansas City, MO 64155 2019-09-10
1477031540 Abby Pearson Massage Therapist 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 2018-08-01
1619408291 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 1600 Nw 88th St, Kansas City, MO 64155 2017-03-24
1013322262 Ryan Bland Dentist 9241 North Oak Trafficway, Kansas City, MO 64155 2014-06-26
1134540289 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 2013-12-16
1366875718 Staley Dental Arts, LLC Dentist 506 Ne 107th Street, Kansas City, MO 64155 2013-08-20
1902137433 Gary D Cooper Internal Medicine 1501 Ne 98th St, Kansas City, MO 64155 2010-01-22
1780845305 Heather Jean Malone Pediatrics 8781 N. Platte Purchase Drive, Kansas City, MO 64155 2008-06-17
1639390370 John Michael Dicapo Physical Therapist 1110 Ne 85 Ct, Kansas City, MO 64155 2007-05-01
1467502021 Laurie D Riddell Pediatrics 8781 N Platte Purchase Dr, Kansas City, MO 64155 2007-01-12
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952918054 Candid Missouri, LLC Dentist 7431 Broadway, Kansas City, MO 64114-1529 2020-09-23
1336500537 Danielle Leeper Dentist 9101 Ne 82nd Ter, Kansas City, MO 64158 2016-03-15
1285040188 Ashlee Weber Dentist 7577 Nw Barry Rd Ste A, Kansas City, MO 64153-1789 2014-07-11
1255620324 Best Smiles LLC Dentist 8043 Wornall Rd Ste 201, Kansas City, MO 64114-5822 2011-03-29
1790950582 Haywood L Hambrick, D.d.s. Inc Dentist 1115 East 65th Street, Kansas City, MO 64131-1202 2008-04-23
1851413629 Gerard W Huerter Jr. Dentist 8919 Parallel Pkwy Ste 450, Kansas City, KS 66112-1655 2007-04-04
1477673242 White Orthodontics Dds PC Dentist 207 East 63rd Street, Kansas City, MO 64113-2224 2007-03-29
1730223231 Loretta Renee White Dentist 207 East 63 Street, Kansas City, MI 64113-2224 2007-02-16
1164597407 Kurt Edward Kavanaugh Dentist 8407 N Main St, Kansas City, MO 64155-2426 2006-11-21
1427127489 Clarence E Simmons Dentist 315 Nichols Rd Ste 208, Kansas City, MO 64112-1554 2006-11-06
Find all providers in KANSAS CITY

Competitor

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City KANSAS CITY
Zip Code 64155

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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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