NIRANZENA PANNEER SELVAM (NPI# 1518580042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518580042 |
Entity Type | Individual |
Full Name | NIRANZENA PANNEER SELVAM |
Credential | M.D.S. |
Practice Address |
2109 Cuming Street Omaha NE 68102 |
Mailing Address |
5325 S111th Plaza Apt 201 Omaha NE 68137 |
Practice Telephone | 8045855189 |
Mailing Telephone | 8045855189 |
Enumeration Date | 2020-05-19 |
Last Update Date | 2020-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
127 | NE | Dental Providers |
Street Address |
2109 CUMING STREET |
City | OMAHA |
State | NE |
Zip Code | 68102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
1487066692 | Paige Mccoy | Counselor | 120 S 24th St Ste 100, Omaha, NE 68102 | 2014-05-21 |
Find all providers in zip 68102 |
Taxonomy Code | 1223X0008X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Radiology |
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093175507 | Douglas Benn | Dentist | 3610 Leavenworth Ct, Omaha, NE 68105-1200 | 2016-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942457080 | Shawneen M Gonzalez | Dentist | 40th & Holdrege St, Lincoln, NE 68583-0740 | 2008-08-20 |
Please comment or provide details below to improve the information on NIRANZENA PANNEER SELVAM.
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.