Aime Andrade, RDH
Individual provider Active NPI Dental Hygienist · Fairway, KS
NPI 1376010777 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1376010777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2017044311 (MO)
- Practice address
- 4400 Shawnee Mission Pkwy Ste 208
Fairway, KS 66205-2518 - Phone
- (913) 254-4065
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12451 | KS | MD | Dental Hygienist |
| 2017044311 | MO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12451 | KS | |
| Dental Hygienist | 124Q00000X | 2017044311 | MO | Yes |
Addresses
Primary practice location
4400 Shawnee Mission Pkwy Ste 208
Fairway, KS 66205-2518
Mailing address
4400 Shawnee Mission Pkwy Ste 208
Fairway, KS 66205-2518
Phone (913) 254-4065
Other providers in Fairway, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.