KATHRYN A DARDIS (NPI# 1467787713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467787713 |
| Entity Type | Individual |
| Full Name | KATHRYN A DARDIS |
| Credential | DDS |
| Practice Address |
838 Nordahl Rd Ste 145 San Marcos CA 92069-3513 |
| Mailing Address |
365 N Jefferson St Apt 2602 Chicago IL 60661-1226 |
| Practice Telephone | 7604806700 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
14602 | MD | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
019.028586 | IL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
64349 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609110964 | Kathryn Ann Dardis | Skilled Nursing Facility | 418 Floyde St, Mccall, ID 83638-4508 | 2012-11-26 |
| Street Address |
838 NORDAHL RD STE 145 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053709782 | Hayley Cox | Dentist | 838 Nordahl Rd Ste 145, San Marcos, CA 92069-3513 | 2015-01-05 |
| 1962826487 | Jaclyn Barrera | Dentist | 838 Nordahl Rd Ste 145, San Marcos, CA 92069-3513 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| 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 |
|---|---|---|---|---|
| 1093054553 | Alligator Dental | Dentist | 1309 Medical Parkway, San Marcos, TX 78666-9997 | 2013-02-04 |
| 1770858565 | Nikki Shafiei | Dentist | 555 S Rancho Santa Fe Rd Ste 101, San Marcos, CA 92078-3698 | 2012-03-13 |
| 1659578953 | Marjan Rashedi | Dentist | 838 Nordahl Rd Ste 125, San Marcos, CA 92069-3513 | 2007-06-29 |
| 1053449439 | Ali Asgari | Dentist | 327 S Rancho Santa Fe Rd, Suite G, San Marcos, CA 92078-2347 | 2007-02-28 |
| 1912002056 | Roel Gonzalez | Dentist | 1320 Wonder World Dr Ste 103, San Marcos, TX 78666-7558 | 2006-09-13 |
| 1992807853 | Josefina Villanueva Martinez | Dentist | 310 Stagecoach Trl Ste 1000, San Marcos, TX 78666-5157 | 2006-09-02 |
| 1467840892 | G. Allen D.d.s., and N. Balachandran D.d.s., Inc | Dentist | 955 Boardwalk, Suite 301, San Marcos, CA 92078-2659 | 2015-01-08 |
| 1962826487 | Jaclyn Barrera | Dentist | 838 Nordahl Rd Ste 145, San Marcos, CA 92069-3513 | 2014-02-05 |
| 1932547049 | Asgari Dental P.C. | Dentist | 327 S Rancho Santa Fe Rd, Suite G, San Marcos, CA 92078-2347 | 2013-06-11 |
| 1538408760 | Alligator Dental | Dentist | 1309 Medical Parkway, San Marcos, TX 78666-9998 | 2013-02-07 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.