DR. KENNETH J. CAVALLARI (NPI# 1033370598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033370598 |
Entity Type | Individual |
Full Name | DR. KENNETH J. CAVALLARI |
Credential | DDS |
Practice Address |
984 First Colonial Rd Ste 108 Virginia Beach VA 23454-3196 |
Practice Telephone | 7574120235 |
Practice Fax Number | 7574966695 |
Mailing Telephone | 7574120235 |
Mailing Fax Number | 7574966695 |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401007923 | VA | Dental Providers |
Street Address |
984 FIRST COLONIAL RD STE 108 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23454-3196 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
Find all providers in zip 23454 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477706737 | Konikoff Periodontics Ltd | Dentist | 477 Viking Dr Ste 190, Virginia Beach, VA 23452-7354 | 2008-10-30 |
1912166869 | Eric Louis Niver | Dentist | 6004 Capital Pl, Virginia Beach, VA 23464-9017 | 2008-06-05 |
1437120375 | Steven Carl Fisher | Dentist | 4609 Downeast Ct, Apt. 203, Virginia Beach, VA 23455-2052 | 2006-01-30 |
1144228719 | Albert B. Konikoff | Dentist | 477 Viking Dr, Virginia Beach, VA 23452-7354 | 2005-07-08 |
1871768390 | Jeremy Shulman | Dentist | 1301 First Colonial Rd, Virginia Beach, VA 23454-2263 | 2008-04-25 |
1316163579 | Gary Andrew Hartman | Dentist | 240 Mustang Trail, Suite 1, Virginia Beach, VA 23452-7516 | 2007-04-17 |
1073638110 | Dr. Bruce K. Barr, D.d.s., P.C. | Dentist | 1369 Laskin Rd, Virginia Beach, VA 23451-6080 | 2007-03-20 |
1811012867 | Kenneth W. Marinak | Dentist | 1369 Laskin Rd, Virginia Beach, VA 23451-6080 | 2007-03-20 |
1851416978 | Bruce Kenneth Barr | Dentist | 1369 Laskin Rd, Virginia Beach, VA 23451-6080 | 2007-03-20 |
1669597753 | Neil A. Landy, D.m.d. | Dentist | 281 Independence Blvd, Suite 231, Virginia Beach, VA 23462-2986 | 2007-03-20 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23454 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.