SD CORPUS CHRISTI PLLC (NPI# 1174168264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174168264 |
| Entity Type | Organization |
| Organization Name | SD CORPUS CHRISTI PLLC |
| Practice Address |
1306 Morgan Ave Corpus Christi TX 78404-3348 |
| Mailing Address |
3543 Roosevelt Ave San Antonio TX 78214-2832 |
| Practice Telephone | 3618846106 |
| Practice Fax Number | 3618849538 |
| Mailing Telephone | 2144661400 |
| Mailing Fax Number | 2143675896 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | DR. LYNHTHY T PHAM (OWNER) |
| Authorized Official Telephone | 2144661400 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1306 MORGAN AVE |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457910226 | Smiley Dental Morgan | Dentist | 1306 Morgan Ave, Corpus Christi, TX 78404-3348 | 2019-06-06 |
| 1154983021 | Smiley Dental Corpus Christi | Dentist | 1306 Morgan Ave, Corpus Christi, TX 78404-3348 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326673195 | Carmel Village Family Dentistry, Pllc | Dentist | 4122 S Staples St, Corpus Christi, TX 78411-2109 | 2020-03-11 |
| 1457910226 | Smiley Dental Morgan | Dentist | 1306 Morgan Ave, Corpus Christi, TX 78404-3348 | 2019-06-06 |
| 1104380773 | Weber Rsvk Pllc | Dentist | 5813d Weber Rd, Corpus Christi, TX 78413-3966 | 2019-01-28 |
| 1457826729 | Everhart Dental Pllc | Dentist | 700 Everhart Rd Ste B11, Corpus Christi, TX 78411-1929 | 2018-10-12 |
| 1740765510 | Saratoga Boulevard Family Dental, Pllc | Dentist | 5638 Saratoga Blvd Ste 100, Corpus Christi, TX 78414-4134 | 2018-09-27 |
| 1881115491 | Th Nguyen Dds Pllc | Dentist | 2306 Airline Rd, Corpus Christi, TX 78414-2941 | 2017-07-05 |
| 1215458245 | Ashley Kerr | Dentist | 6500 S.p.i.d., Ste 12, Corpus Christi, TX 78412 | 2017-06-29 |
| 1659800720 | Tricia Mae Cueva | Dentist | 4117 S Staples St Ste 300, Corpus Christi, TX 78411-0012 | 2017-06-12 |
| 1417486333 | Calallen Dental & Orthodontics Pllc | Dentist | 14101 Northwest Blvd Ste 111, Corpus Christi, TX 78410 | 2017-06-05 |
| 1932547494 | Sarah Denise Pitarra | Dentist | 4758 Mcardle, Suite 104, Corpus Christi, TX 78411-7841 | 2013-06-06 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on SD CORPUS CHRISTI PLLC.
| 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.