DR. JEEVAN KUMAR YENUGANTI (NPI# 1083801880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083801880 |
| Entity Type | Individual |
| Full Name | DR. JEEVAN KUMAR YENUGANTI |
| Other Name | DR. JEEVAN K YENUGANTI |
| Credential | BDS, MSPH |
| Practice Address |
30575 Old Baton Rouge Hwy Hammond LA 70403 |
| Mailing Address |
2357 Ormond Blvd Destrehan LA 70047-2103 |
| Practice Telephone | 2253062067 |
| Mailing Telephone | 5046388466 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6421 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1864218 | 05 | |
| LA | CDS | 034897 | 01 |
| LA | DEA | FY4718497 | 01 |
| Street Address |
30575 OLD BATON ROUGE HWY |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| 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 |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1629693064 | Vial Joseph Leblanc IIi | Dentist | 1007 W Thomas St Ste E, Hammond, LA 70401-3062 | 2020-06-11 |
| 1396240123 | Unique T Williams | Dentist | 800 C M Fagan Dr Ste A, Hammond, LA 70403-6062 | 2018-03-25 |
| 1134399561 | Dental Center of Hammond | Dentist | 6834 Indianapolis Blvd, Hammond, IN 46324-1710 | 2008-02-29 |
| 1972704310 | Hope Michelle Taylor | Dentist | 1000 C M Fagan Dr Ste A, Hammond, LA 70403-6055 | 2007-05-31 |
| 1134347552 | Stacie L. Noe | Dentist | 212 W. Minnesota Park Rd., Hammond, LA 70403 | 2007-04-23 |
| 1497970230 | Darryl George Hoover | Dentist | 12192 Hwy 190 West, Hammond, LA 70403 | 2007-04-16 |
| 1619096625 | Jonathan Louis Kirkland | Dentist | 1003 W Thomas St, Suite D, Hammond, LA 70401-3065 | 2007-03-29 |
| 1598893091 | Stacie L Noe, Dds, Apdc | Dentist | 212 W Minnesota Park Rd, Hammond, LA 70403-6125 | 2007-02-28 |
| 1366578841 | Warren Walker Wood | Dentist | 305 Nw Railroad Ave, Hammond, LA 70401-3258 | 2007-02-26 |
| Find all providers in HAMMOND | ||||
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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.