KINNARI PRAJAPATI, D.D.S., PA (NPI# 1417085242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417085242 |
| Entity Type | Organization |
| Organization Name | KINNARI PRAJAPATI, D.D.S., PA |
| Other Organization Name | CANYON CREEK DENTISTRY |
| Practice Address |
1618 Canyon Creek Dr Suite 110 Temple TX 76502-3275 |
| Mailing Address |
7718 Buckmeadow Dr Georgetown TX 78628-3708 |
| Practice Telephone | 2547715900 |
| Practice Fax Number | 2547715380 |
| Mailing Telephone | 5128698300 |
| Mailing Fax Number | 5128698300 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KINNARI PRAJAPATI (PRESIDENT) |
| Authorized Official Telephone | 2547715900 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20617 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UC | 01361994 | 01 |
| TX | BCBS | B20617 | 01 |
| Other Name | Type Code |
|---|---|
| Canyon Creek Dentistry | Doing Business As Name - Organization |
| Street Address |
1618 CANYON CREEK DR SUITE 110 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194798074 | Todd Bradley Gorden | Ophthalmology | 1618 Canyon Creek Dr, Suite 120, Temple, TX 76502-3275 | 2006-02-09 |
| 1154414415 | Kinnari M Prajapati | Dentist | 1618 Canyon Creek Dr, Suite 110, Temple, TX 76502-3275 | 2006-10-01 |
| 1568436616 | Pamela Sue Harrison | Optometrist | 1618 Canyon Creek Dr, Temple, TX 76502-3275 | 2006-02-15 |
| 1003889981 | Gorden Eye Associates, Pa | Ophthalmology | 1618 Canyon Creek Dr, Suite 120, Temple, TX 76502-3275 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| 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 |
|---|---|---|---|---|
| 1437761319 | Erin Lee Kern | Dentist | 3550 S General Bruce Dr Ste D103, Temple, TX 76504-5138 | 2020-08-20 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1053963967 | Mousami Surapaneni | Dentist | 3108 S 31st St Ste 2108, Temple, TX 76502-1803 | 2019-07-11 |
| 1689235038 | Bruce Total Dental and Orthodontics Pllc | Dentist | 3809 S General Bruce Dr Ste 104, Temple, TX 76502-1038 | 2019-06-26 |
| 1265925721 | Sharon Kuriakose Iype | Dentist | 3108 S 31st St Ste 3108, Temple, TX 76502-1803 | 2018-06-10 |
| 1710409586 | Lynda My Nguyen | Dentist | 7410 W Adams Ave, Temple, TX 76502-5891 | 2017-07-12 |
| 1225562820 | Qtl Dental Pllc | Dentist | 121 N 31st St, Suite A, Temple, TX 76504-2421 | 2017-04-20 |
| 1346607314 | Quang Luong | Dentist | 5297 S 31st St Ste 111, Temple, TX 76502-3515 | 2016-01-21 |
| 1780073627 | Sungjoon T Koo | Dentist | 10252 W Adams Ave Ste 101, Temple, TX 76502-5849 | 2015-01-15 |
| Find all providers in TEMPLE | ||||
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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.