DR. PRADEEPA PADMANABHAN (NPI# 1154581353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154581353 |
| Entity Type | Individual |
| Full Name | DR. PRADEEPA PADMANABHAN |
| Practice Address |
263 Farmington Ave Farmington CT 06030-0001 |
| Mailing Address |
173 Foxboro Dr Newington CT 06111-4577 |
| Practice Telephone | 8606792000 |
| Mailing Telephone | 8604362754 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2013-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10637 | CT | Dental Providers |
| Street Address |
263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879519 | Michael Joseph Giordano | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-05-24 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1295333458 | Brianne Catherine Bischoff | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-10 |
| 1023622073 | Michael John Arciszewski | Perfusionist | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-09-06 |
| 1073126199 | Esha Bhatt | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06032-1956 | 2020-08-28 |
| 1689286932 | Margaret Darin | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-18 |
| 1174133656 | Rosa Raquel Huivin | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-08-09 |
| 1336758051 | Sahar Zamani | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0002 | 2020-07-28 |
| 1083222954 | Gabriela Maria Parra | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| 1780292680 | Bastian Andres Rojas Espinoza | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| 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 |
|---|---|---|---|---|
| 1104277482 | Ncdi - Animas Professional, LLP | Dentist | 2650 E Pinon Frontage Rd, Bldg #200, Farmington, NM 87402-5084 | 2016-06-28 |
| 1750736377 | Mountain View Pediatric Dentistry of Farmington | Dentist | 991 Shepard Lane, Ste 100, Farmington, UT 84025-2702 | 2016-05-02 |
| 1295823177 | Animas Pediatric Dental Group | Dentist | 2650 E Pinon Frontage Rd. Bldg. 200, Farmington, NM 87402-5061 | 2006-10-10 |
| 1477515104 | Kenneth R Dunston | Dentist | 2050 N Butler Ave, Farmington, NM 87401-4201 | 2006-04-06 |
| 1760443998 | Lawrence Eric Suazo | Dentist | 2650 E. Pinon Frontage Rd. Bldg. 200, Farmington, NM 87402-5061 | 2006-03-29 |
| 1841250529 | Doug Earl Holmes | Dentist | 2650 E. Pinon Frontage Rd., Bldg #200, Farmington, NM 87402-5061 | 2006-03-25 |
| 1407822000 | John R Anderson | Dentist | 1401 N Highway 89, #200, Farmington, UT 84025-2745 | 2006-02-24 |
| 1659756161 | Rawan Sarsour | Dentist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2015-07-26 |
| 1013395359 | Bahar Houshmand | Dentist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2015-05-06 |
| 1518350479 | Katherine Fleming | Dentist | 263 Farmington Ave, Farmington, CT 06032-1956 | 2015-03-16 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.