ESWAR KERAN C DAMODARA (NPI# 1124441530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124441530 |
| Entity Type | Individual |
| Full Name | ESWAR KERAN C DAMODARA |
| Credential | BDS.,MS |
| Practice Address |
1201 N Stonewall Ave Rm# 535a Oklahoma City OK 73117-1214 |
| Practice Telephone | 4052715714 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
11-13 | OK | Dental Providers |
| Street Address |
1201 N STONEWALL AVE RM# 535A |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557452 | Tim R Fagan | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2005-06-08 |
| 1538778840 | Allison Brewer Dinse | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1922625813 | Amanda Stephanie Akkari | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1275159162 | Katherine Ann Gamble | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1255957023 | Andrew Lee Benjamin Jr. | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1295355337 | Gabriel Duffy | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-18 |
| 1558981829 | Shawn Moffett | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-16 |
| 1750933305 | Schuyler Allison Pracht | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-14 |
| 1801458385 | Jeremiah Aigbedion | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-03 |
| 1396307104 | Kathleen Alexis Higgins | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218143 | Niranjan Joshi | Dentist | 1201 N Stonewall Ave Ste 494, Oklahoma City, OK 73117-1214 | 2019-07-31 |
| 1811103229 | Bryce C. Dorrough | Dentist | 8301 S Walker Ave, Oklahoma City, OK 73139-9419 | 2007-05-15 |
| 1750406237 | James Robert Reneau | Dentist | 2751 Nw Expressway St, Suite 5, Oklahoma City, OK 73112-7084 | 2007-03-21 |
| 1568862357 | Yacoub Al Sakka | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2014-08-28 |
| 1821228214 | Implant & Prosthodontic Associates, Pllc | Dentist | 4517 Memorial Cir, Oklahoma City, OK 73142-5006 | 2009-07-20 |
| 1932257060 | Paul Wayne Wilkes | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2007-01-08 |
| 1164585519 | Paul Mathews Mullasseril | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2006-12-18 |
| 1306913918 | Edwin L. Wilson,jr. | Dentist | 1201 N Stonewall Ave, Room 494, Oklahoma City, OK 73117-1214 | 2006-11-29 |
| 1356416341 | Frank J. Wiebelt | Dentist | 1201 N Stonewall Ave, Room 494, Oklahoma City, OK 73117-1214 | 2006-11-22 |
| 1730254855 | Luis J. Blanco | Dentist | 1201 N Stonewall Ave, Room 494, Oklahoma City, OK 73117-1214 | 2006-11-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
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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.