KELLY RACHELLE ZUKAITIS (NPI# 1255337150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255337150 |
Entity Type | Individual |
Full Name | KELLY RACHELLE ZUKAITIS |
Credential | DDS |
Practice Address |
991 W Hudson Blvd Gastonia NC 28052-6430 |
Practice Telephone | 7048525294 |
Practice Fax Number | 7048535269 |
Mailing Telephone | 7048525294 |
Mailing Fax Number | 7048535269 |
Enumeration Date | 2005-06-24 |
Last Update Date | 2012-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6708 | NC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 90026 | 05 |
Street Address |
991 W HUDSON BLVD |
City | GASTONIA |
State | NC |
Zip Code | 28052-6430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295731271 | Aregai Abay Girmay | Family Medicine | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2005-06-23 |
1669001293 | Alice Faith Horton | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2020-04-06 |
1013543461 | Sheiva Mills | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2020-03-18 |
1508402504 | Lakisha Goodson | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-11-25 |
1568005601 | Christine A Golien | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-10-22 |
1609424431 | Kierstin N Webb | Nurse Practitioner | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-08-26 |
1588210892 | Angela Smith King | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-08-13 |
1396391603 | Keely Currin | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-08-13 |
1922669449 | Michael Victor Feathers | Dentist | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-06-25 |
1790344679 | Jessica Davida Shamberger | Dentist | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
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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 |
---|---|---|---|---|
1538191960 | Charles William Connor Jr. | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2006-07-07 |
1679004584 | Laetitia I. Sery, Dds, Pllc | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2017-03-22 |
1972920676 | Jessica Simon | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2014-03-20 |
1922438977 | Rdest Dds Pllc II | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2013-11-12 |
1457637621 | White Smiles | Dentist | 3044 E Franklin Blvd, Suite 4, Gastonia, NC 28056-5400 | 2011-11-01 |
1982835831 | Jonathan R Kaczmarski | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-07-27 |
1922240969 | Ashley Blacktree | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-04-06 |
1801939699 | Pediatric Dentistry and Orthodontics | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-02-14 |
1700936069 | Rebecca Burack Gross | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912507468 | S Vakil Dds Ms IIi Pa | Dentist | 181 N Main St Ste 202, Mooresville, NC 28115-2525 | 2020-10-26 |
1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
1942820105 | David E Thome Dds Pllc X | Dentist | 7856 Village Ctr N, Sherrills Ford, NC 28673-9413 | 2020-04-17 |
1689293706 | Alterman Dhillon and Associates | Dentist | 9648 Chapel Hill Rd Ste 100, Morrisville, NC 27560-7846 | 2020-04-09 |
1457982852 | Miguel Angel Simancas-pallares | Dentist | 228 Brauer Hall Cb#7450, Chapel Hill, NC 27599-0001 | 2020-02-04 |
1396388096 | Thome & Kankash Dds Pllc I | Dentist | 401 Attain St Ste 111, Fuquay Varina, NC 27526-2702 | 2019-10-25 |
1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
1154981371 | Bevin K Malle Dds Pa II | Dentist | 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173-8848 | 2019-06-19 |
1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
1609337930 | Jean Kontos Ginnis | Dentist | Manning Drive & S Columbia Street, Chapel Hill, NC 27599-0001 | 2019-03-28 |
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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.