DALLAN GREENHALGH DDS NPI 1003801663

Dentist (General Practice) in Shawnee, KS

Individual Male Dentist General Practice PECOS Enrolled

About DALLAN GREENHALGH

Dallan Greenhalgh is a provider established in Shawnee, Kansas and his medical specialization is dentist. The NPI number of Dallan Greenhalgh is 1003801663 and was assigned on September 2005. The practitioner's primary taxonomy code is 1223G0001X with license number 60359 (KS). The provider is registered as an individual and his NPI record was last updated 4 years ago. Dallan Greenhalgh is enrolled in PECOS.

NPI

1003801663

Provider Name DALLAN GREENHALGH DDS
Provider Location Address6302 MONROVIA ST SHAWNEE, KS 66216
Provider Mailing Address6302 MONROVIA ST SHAWNEE, KS 66216
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-20-2005
Last Update Date10-22-2015

Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.60359
License StateKS
Taxonomy DescriptionA 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.

Business Address

DALLAN GREENHALGH DDS
6302 MONROVIA ST
SHAWNEE, KS
ZIP 66216
Phone: (913) 631-2400
Fax: (913) 631-0545

Get Directions

Mailing Address

DALLAN GREENHALGH DDS
6302 MONROVIA ST
SHAWNEE, KS
ZIP 66216
Phone: (913) 631-2400
Fax: (913) 631-0545

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447669981DR. SETH COHEN DDS
Individual
Dentist6302 MONROVIA ST
SHAWNEE, KS 66216
(913) 341-6767

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI
1003801655
Next NPI
1003801671