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4720 Rainbow Blvd Ku Dental Associates, Ste. 250 Westwood KS 66205-1831 | |
| (913) 588-9200 | |
| (913) 588-9203 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4720 Rainbow Blvd, Westwood, Kansas |
| Authorized Official Name and Position | E. Christian Hansen (CEO) |
| Authorized Official Contact | 9135889000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2330 Shawnee Mission Pkwy Medical Administrative Services Of Ku Med. Ste 312 Westwood KS 66205-2005 Ph: (913) 588-9000 | 4720 Rainbow Blvd Ku Dental Associates, Ste. 250 Westwood KS 66205-1831 Ph: (913) 588-9200 |
| NPI Number | 1295845758 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 9436054798 |
|---|---|
| Medicare Enrollment ID | O20241004002905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295845758 | NPI | - | NPPES |
| 452100 | Other | BCBS KS GROUP NUMBER | |
| 36950011 | Other | BCBS KC GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Maria Barragan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245469550 PECOS PAC ID: 2466724166 Enrollment ID: I20170815003295 |
| Provider Name | Alissa R Becknell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114381332 PECOS PAC ID: 6103117379 Enrollment ID: I20220316000429 |
| Provider Name | Amit Kumar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528353216 PECOS PAC ID: 1355581588 Enrollment ID: I20221025001386 |
| Provider Name | Hemali Vin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366898967 PECOS PAC ID: 9537454111 Enrollment ID: I20221205002216 |
| Provider Name | Nadeem D Dallal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467481028 PECOS PAC ID: 4486657277 Enrollment ID: I20241017001249 |
Smj Dental Associates Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West 47th Place, Suite 101, Westwood, KS 66205 Phone: 913-262-2992 Fax: 913-262-3205 | |
Westwood Aesthetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4742 Rainbow Blvd, Westwood, KS 66205 Phone: 913-766-1756 |