DR. SPRETHA KADAVATH (NPI# 1609206135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609206135 |
| Entity Type | Individual |
| Full Name | DR. SPRETHA KADAVATH |
| Credential | D.D.S |
| Practice Address |
50 Grand Ave New Haven CT 06513 |
| Mailing Address |
578 Westport Tpke Fairfield CT 06824-1670 |
| Practice Telephone | 2037777411 |
| Mailing Telephone | 9736416595 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11700 | CT | Dental Providers |
| N | 122300000X | Dentist | DS039775 | PA | Dental Providers |
| N | 122300000X | Dentist | 22DI02497200 | NJ | Dental Providers |
| N | 122300000X | Dentist | DN1856427 | MA | Dental Providers |
| Street Address |
50 GRAND AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713512 | Maranda Hyde | Registered Nurse | 50 Grand Ave, New Haven, CT 06513-3949 | 2020-03-02 |
| 1851868889 | Chikaodili Olusola Obidike | Dentist | 50 Grand Ave, New Haven, CT 06513-3949 | 2018-10-29 |
| 1558855049 | Leah Marie Mawhinney | Advanced Practice Midwife | 50 Grand Ave, New Haven, CT 06513-3949 | 2018-06-18 |
| 1295225407 | Annette Lilianna Nasiadka | Dental Hygienist | 50 Grand Ave, New Haven, CT 06513-3949 | 2018-05-14 |
| 1427583400 | Victoria Rose Massey | Dentist | 50 Grand Ave, New Haven, CT 06513-3949 | 2017-04-27 |
| 1922531920 | Chana Schaffer | Advanced Practice Midwife | 50 Grand Ave, New Haven, CT 06513-3949 | 2017-04-06 |
| 1811372469 | Fair Haven Community Health Clinic, Inc | Dentist | 50 Grand Ave, New Haven, CT 06513-3949 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1992134878 | Joon Lee | Occupational Therapist | 918 Quinnipiac Ave #2, New Haven, CT 06513 | 2013-11-01 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1215457551 | Advanced Dental Sleep Medicine of Connecticut, PC | Dentist | 46 Prince St Ste 310, New Haven, CT 06519-1600 | 2017-06-27 |
| 1457691677 | Nishan R Halim | Dentist | 308 Alden Ave, Apt A, New Haven, CT 06515-2114 | 2013-02-25 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1407138837 | Robert P Ellison | Dentist | 615 Professional Park Dr, New Haven, IN 46774-1850 | 2011-09-12 |
| 1639473952 | Kara Gormley | Dentist | 111 Park St Ste 1b, New Haven, CT 06511-5472 | 2010-12-29 |
| 1538331434 | Iffat Nazneen | Dentist | 262 Grand Avenue, New Haven, CT 06513-3742 | 2008-03-31 |
| 1265570097 | Robert Barry Rosenblitt | Dentist | 1574 Chapel Street, New Haven, CT 06511-4205 | 2007-02-02 |
| 1265517015 | Stephen Carl Malinconico | Dentist | 770 Orange St, New Haven, CT 06511 | 2006-10-26 |
| 1437248770 | Maria C Jimenez | Dentist | 1395 Chapel Street, New Haven, CT 06511 | 2006-10-12 |
| Find all providers in NEW HAVEN | ||||
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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.