JENNIFER CANADA (NPI# 1124401146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124401146 |
Entity Type | Individual |
Full Name | JENNIFER CANADA |
Credential | DMD |
Practice Address |
6725 N 35th Ave # 105 Phoenix AZ 85017-1083 |
Mailing Address |
6725 N. 35th Ave., #105 Phoenix AZ 85017 |
Practice Telephone | 6025955230 |
Practice Fax Number | 6025955280 |
Mailing Telephone | (602) 595-5230 |
Mailing Fax Number | 6025955280 |
Enumeration Date | 2015-07-08 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9796 | AZ | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1 Brookdale Plz, Brooklyn, NY 112123139 | 7182405021 |
Street Address |
6725 N 35TH AVE # 105 |
City | PHOENIX |
State | AZ |
Zip Code | 85017-1083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
1295259281 | Happy Home Care | Home Health | 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 | 2017-08-01 |
1851848493 | Horeb Transportation LLC | Non-emergency Medical Transport (VAN) | 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 | 2016-09-01 |
1932565942 | Urgent Pain, LLC | Contractor | 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 | 2016-01-06 |
1457766172 | Lindsay Allison Love | Social Worker | 3306 W. Catalina Dr., Phoenix, AZ 85017 | 2014-06-23 |
1437592433 | Maya Medical Services | Clinic/Center | 2908 W. Camelback Rd., Phoenix, AZ 85017 | 2013-04-10 |
1801089685 | Jonnie Arnold | Counselor | 3400 Grand Ave, Phoenix, AZ 85017 | 2007-08-24 |
1851414890 | Corpus Christi Home Care and Hospice LLC | Hospice Care, Community Based | 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 | 2007-04-06 |
Find all providers in zip 85017 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
1972023372 | David Jourabchi | Dentist | 4550 E Bell Rd Ste 106, Phoenix, AZ 85032-9342 | 2017-06-27 |
1730639840 | Steven Petruzzi Dds Pllc | Dentist | 34406 N 27th Dr Ste 106, Phoenix, AZ 85085-7730 | 2016-10-12 |
1548654791 | Arlene Kewallal | Dentist | 1935 W Happy Valley Rd, Phoenix, AZ 85085-2884 | 2015-03-25 |
1134400880 | Norterra Pediatric Dental Partners, LLP | Dentist | 2217 W Happy Valley Rd Ste 100, Phoenix, AZ 85085-1604 | 2011-09-07 |
1558689703 | Hamed Rezakhan | Dentist | 4803 E Ray Rd, Suit P002c, Phoenix, AZ 85044-6496 | 2010-05-12 |
1417110750 | Shreekrishna Chaitanya Akilesh | Dentist | 10550 W Mariposa St, Phoenix, AZ 85037-5081 | 2008-07-07 |
1134345937 | Pda Holdings | Dentist | 1701 E Thomas Rd #204, Phoenix, AZ 85016 | 2007-04-18 |
1902936677 | William J. Heimann | Dentist | 1526 W Glendale Ave Ste 103, Phoenix, AZ 85021-8576 | 2007-03-06 |
Find all providers in PHOENIX |
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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.