DR. RAHADIAN KRIS PUTRASAHAN (NPI# 1083700967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083700967 |
| Entity Type | Individual |
| Full Name | DR. RAHADIAN KRIS PUTRASAHAN |
| Credential | DDS |
| Practice Address |
3195 W Ray Rd Suite #3 Chandler AZ 85226-2417 |
| Mailing Address |
7650 S Mcclintock Dr Suite 103-235 Tempe AZ 85284-1672 |
| Practice Telephone | 4807883627 |
| Mailing Telephone | 4807883627 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4695 | AZ | Dental Providers |
| Street Address |
3195 W RAY RD SUITE #3 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85226-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760639058 | Advanced Pain Modalities, Plc | Anesthesiology | 3195 W Ray Rd, Suite #1, Chandler, AZ 85226-2417 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594076 | Diplomat Specialty Pharmacy of Phoenix, LLC | Durable Medical Equipment & Medical Supplies | 485 N Juniper Dr, Chandler, AZ 85226 | 2018-07-02 |
| 1073011961 | Joshua David Heiller | Physical Therapist | 5590 W Chandler Blvd Ste B4, Chandler, AZ 85226 | 2018-01-25 |
| 1053771808 | Jessie Beliard | Counselor | 6909 W Ray Rd Ste 138, Chandler, AZ 85226 | 2016-03-07 |
| 1750754206 | Homestead Hospice of Phoenix LLC | Hospice Care, Community Based | 5355 W Chandler Blvd, Suite 3, Chandler, AZ 85226 | 2015-11-05 |
| 1003288192 | Savannah Torrez | Physical Therapist | 5590 W Chandler Blvd Ste B-4, Chandler, AZ 85226 | 2015-10-28 |
| 1437401528 | Larry W. Ganann | Pharmacist | 4949 W. Ray Road, Chandler, AZ 85226 | 2012-10-12 |
| 1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
| 1457609158 | Patricia Dobratz | Marriage & Family Therapist | 6100 W Gila Springs Pl, Suite 19, Chandler, AZ 85226 | 2012-08-28 |
| 1831406388 | Chanda Lise Gonzales | Counselor | 6909 W Ray Rd Ste 15-143, Chandler, AZ 85226 | 2010-09-04 |
| 1689874323 | Arizona Dental Design | Dentist | 4940 W. Ray Road Suite 8, Chandler, AZ 85226 | 2007-07-20 |
| Find all providers in zip 85226 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
| 1053925255 | Cactus Point Dental, Pllc | Dentist | 1300 N Mcclintock Dr Ste D10-11, Chandler, AZ 85226-7205 | 2020-09-04 |
| 1700401023 | Craig Standage | Dentist | 125 E Ray Rd, Chandler, AZ 85225-3339 | 2020-06-12 |
| 1073156709 | Martin Dental-airpark LLC | Dentist | 1775 E Queen Creek Rd Ste 130, Chandler, AZ 85286-2012 | 2019-10-25 |
| 1932754231 | Kourtney Rummel | Dentist | 3100 W Chandler Blvd Ste C, Chandler, AZ 85226-5222 | 2019-08-05 |
| 1912565177 | Novelly Family Dentistry & Orthodontics LLC | Dentist | 2171 E Pecos Rd Ste 1, Chandler, AZ 85225-6139 | 2019-06-03 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1407340854 | Ocotillo Lakes Dental Health | Dentist | 3200 S Alma School Rd Ste 103, Chandler, AZ 85248-3755 | 2018-06-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| Find all providers in CHANDLER | ||||
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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.