LOUIS POULOS (NPI# 1114139292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114139292 |
| Entity Type | Individual |
| Full Name | LOUIS POULOS |
| Credential | D.D.S. |
| Practice Address |
2581 Samaritan Dr Suite 310 San Jose CA 95124-4113 |
| Practice Telephone | 4083569366 |
| Practice Fax Number | 4093569735 |
| Mailing Telephone | 4083569366 |
| Mailing Fax Number | 4093569735 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
21283 | CA | Dental Providers |
| Street Address |
2581 SAMARITAN DR SUITE 310 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258005 | Kurt N Bausback | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4113 | 2006-01-05 |
| 1043654486 | Sutter Bay Medical Foundation | Clinic/Center | 2581 Samaritan Dr, Suite 308, San Jose, CA 95124-4113 | 2013-04-27 |
| 1861755092 | Sanaz Keyhan | Obstetrics & Gynecology | 2581 Samaritan Dr, San Jose, CA 95124-4113 | 2012-06-22 |
| 1548527146 | Samaritan Surgery Center | Clinic/Center | 2581 Samaritan Dr, Suite 300, San Jose, CA 95124-4113 | 2012-04-19 |
| 1164790473 | Amy Solis | Nurse Practitioner | 2581 Samaritan Dr, Suite 302, San Jose, CA 95124-4113 | 2011-12-01 |
| 1093092686 | Fabrice J Gallez, Dds, Ms, Inc | Clinic/Center | 2581 Samaritan Dr, Suite #310, San Jose, CA 95124-4113 | 2011-11-09 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1417182593 | Michael Timothy Purkey | Otolaryngology | 2581 Samaritan Dr, Suite 210, San Jose, CA 95124-4113 | 2009-05-19 |
| 1700030418 | Mohammad Ezzati | Obstetrics & Gynecology | 2581 Samaritan Dr, Suite 308, San Jose, CA 95124-4113 | 2008-11-07 |
| 1609022581 | Amin Manuchehry | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4112 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| 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 |
|---|---|---|---|---|
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1518331123 | Prasit Aranyarachkul, Dds, Inc | Dentist | 3996 S Bascom Ave Ste 6, San Jose, CA 95124-2663 | 2015-11-19 |
| 1659713766 | Rana Baroudi, Dmd, Ms Dental Corporation | Dentist | 3535 Ross Ave Ste 302, San Jose, CA 95124-3038 | 2013-07-18 |
| 1114102357 | Timothy W. Gifford | Dentist | 5595 Winfield Blvd Ste 208, San Jose, CA 95123-1220 | 2008-01-07 |
| 1609074988 | Donald W Boyle Dds Inc | Dentist | 3996 S Bascom Ave, San Jose, CA 95124-2663 | 2007-07-06 |
| 1750590048 | Binh Duong Nguyen | Dentist | 2351 Mckee Rd, Suite B, San Jose, CA 95116-1624 | 2007-05-22 |
| 1154549988 | Norman Dartt Fuller IIi | Dentist | 1701 Lundy Ave Ste 150, San Jose, CA 95131-1858 | 2007-04-24 |
| 1861538118 | Siamak Madani | Dentist | 4155 Moorpark Ave Ste 18, San Jose, CA 95117-1714 | 2007-01-30 |
| 1275680530 | Christine M. Hayashi | Dentist | 2000 Forest Ave Ste A, San Jose, CA 95128-4831 | 2007-01-05 |
| 1700976149 | Niloofar Zarkesh | Dentist | 100 Oconnor Dr Ste 10, San Jose, CA 95128-1638 | 2006-10-14 |
| Find all providers in SAN JOSE | ||||
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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.