Mr Justin M Davenport, DDS - Medicare Dentist in Leawood, KS

Mr Justin M Davenport, DDS is a medicare enrolled "Dentist - General Practice" provider in Leawood, Kansas. His current practice location is 11225 Nall Ave, Suite 120, Leawood, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 345-1962.

Mr Justin M Davenport is licensed to practice in Kansas (license number 60233) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295844108.

Contact Information

Mr Justin M Davenport, DDS
11225 Nall Ave, Suite 120,
Leawood, KS 66211
(913) 345-1962
(913) 345-0365



Healthcare Provider's Profile

Full NameMr Justin M Davenport
GenderMale
SpecialityDentist - General Practice
Location11225 Nall Ave, Leawood, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295844108
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608196464
  • Enrollment ID: I20150518001943

Medical Identifiers

Medical identifiers for Mr Justin M Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295844108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 60233 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Justin M Davenport is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Justin M Davenport, DDS
11225 Nall Ave, Suite 120,
Leawood, KS 66211

Ph: (913) 345-1962
Mr Justin M Davenport, DDS
11225 Nall Ave, Suite 120,
Leawood, KS 66211

Ph: (913) 345-1962

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Dentist in Leawood, KS

Shibin Yu,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 13705 Manor, Leawood, KS 66224
Phone: 801-635-4264    
Dr. Abbie Skochdopole Mcknight, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3400 College Blvd Ste 203, Leawood, KS 66211
Phone: 913-948-9710    
Dr. Clare Elizabeth Mulgrue, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11313 Ash St, Leawood, KS 66211
Phone: 913-451-2929    
Dr. Kenneth Joseph Frick, D.D.S., M.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 11201 Nall Ave, Suite 130, Leawood, KS 66211
Phone: 913-491-0056    
Dr. James Doyle Gentry, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8700 State Line Rd, Suite 300, Leawood, KS 66206
Phone: 913-341-0018    Fax: 913-341-1648
Dr. James Brad Tally, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 13650 Roe Blvd, Leawood, KS 66224
Phone: 913-491-5040    
Dr. Edward A Nelson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 11409 Ash St, Suite A, Leawood, KS 66211
Phone: 913-491-5552    Fax: 913-491-4668

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