Steven Mark Vodonick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60552 Issued in KS

Practice address

5638 Nieman Rd
Shawnee Mission, KS 66203-2348

Phone

(913) 631-2229

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1376702670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 NIEMAN RD",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662032348",
            "telephone_number": "913-631-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 NIEMAN RD",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662032348",
            "telephone_number": "913-631-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODONICK",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacia Troshynski Brown, P.T., D.P.T.
• Kimberly A. Tuley, CRNA
• Rebecca Tusken, M.D.
• Julie A Valle, CRNA
• Todd Martin Vanwyngarden, D.P.M.
• Kathleen Vogel, CRNA
• Katelyn R Waldeier, AUD
• Isabelle Wallis
• Penny Ann Walter, RD, LD
• Haley Wardrip, MD

• General Practice Dentistry in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.