DR. KYLE MICHAEL MALDONADO (NPI# 1174053243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174053243 |
| Entity Type | Individual |
| Full Name | DR. KYLE MICHAEL MALDONADO |
| Credential | DDS |
| Practice Address |
808 C M Fagan Dr Hammond LA 70403 |
| Mailing Address |
808 C M Fagan Dr Hammond LA 70403-6049 |
| Practice Telephone | 9855428719 |
| Mailing Telephone | 9855428719 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6781 | LA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Florida Ave, New Orleans, LA 701192715 | 5046157363 | |
| 4432 Conlin St Ste 2b, Metairie, LA 700062146 | 5044555581 | |
| 10900 Highway 3125 Ste C, Lutcher, LA 700715639 | 2258693753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225319114 | Kyle Walker Maldonado | Nurse Practitioner | 3870 Tampa Rd Ste D, Oldsmar, FL 34677-3133 | 2011-09-06 |
| Street Address |
808 C M FAGAN DR |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306073358 | Michael P. Turgeau | Dentist | 15696 Professional Plz, Hammond, LA 70403-1410 | 2009-06-17 |
| 1235260639 | Kimberly Easley Bodden | Dentist | 104 S Spruce St, Hammond, LA 70403-4136 | 2007-03-08 |
| 1588717235 | Clayton J. Charbonnet Jr,d.d.s.,a.p.o. | Dentist | 1905 W Thomas St, Suite M, Hammond, LA 70401-2901 | 2007-01-18 |
| 1942437173 | Devereux and Nguyen LLC | Dentist | 1905 W Thomas St, Suite M, Hammond, LA 70401-2901 | 2009-06-15 |
| 1568567014 | Craig Anthony Henry | Dentist | 800 C M Fagan Dr, Suite A, Hammond, LA 70401 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674116 | Allison Haynie | Dentist | 1914 E 70th St Ste H, Shreveport, LA 71105-5312 | 2020-09-18 |
| 1982229720 | Hannah Knott | Dentist | 1301 W Tunnel Blvd Ste B, Houma, LA 70360-2600 | 2020-06-08 |
| 1922562438 | Coastal Orthodontics, LLC | Dentist | 635 Enterprise Drive, Houma, LA 70360-7036 | 2019-01-29 |
| 1689108664 | Matthew Oubre | Dentist | 3600 Dumaine St, New Orleans, LA 70119-3810 | 2017-04-17 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1447794490 | Rebecca Payne | Dentist | 4010 Lonesome Rd, Mandeville, LA 70448-7085 | 2016-12-09 |
| 1780137703 | Eun Chee Lee | Dentist | 2330 Gause Blvd E Ste E, Slidell, LA 70461-4141 | 2016-07-26 |
| 1518364884 | Donovan P Soignet | Dentist | 1001-a East 7th St, Thibodaux, LA 70301 | 2014-12-02 |
| 1598184871 | Jessica Brown Ulmer | Dentist | 4429 Chastant St, Metairie, LA 70006-2053 | 2014-04-15 |
| 1588006118 | Katie Evans Moffit | Dentist | 1460 Peterman Dr, Alexandria, LA 71301 | 2013-07-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KYLE MICHAEL MALDONADO.
| 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.