PRABHJOT KAUR (NPI# 1639588874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639588874 |
| Entity Type | Individual |
| Full Name | PRABHJOT KAUR |
| Practice Address |
1403 W Glen Ave Peoria IL 61614-4705 |
| Mailing Address |
2050 E Algonquin Rd 610 Schaumburg IL 60173-4144 |
| Practice Telephone | 8477011457 |
| Mailing Telephone | 8477011455 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.030006 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023585056 | Prabhjot Kaur | Licensed Vocational Nurse | 7246 Remmet Ave, Canoga Park, CA 91303-1531 | 2018-10-29 |
| 1437625787 | Prabhjot Kaur | Respiratory Therapist, Certified | Va New Jersey Health Care System, 385 Tremont Ave, East Orange, NJ 07018 | 2018-10-15 |
| 1821418229 | Prabhjot Kaur | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2014-04-24 |
| 1972805471 | Prabhjot Kaur | Physical Therapist | 23077 Greenfield Rd, Southfield, MI 48075-3709 | 2010-12-03 |
| 1821311762 | Prabhjot Kaur | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2010-03-07 |
| 1093900110 | Prabhjot Kaur | Dentist | 3753 91st St, Jackson Height, Jackson Heights, NY 11372-7901 | 2007-09-11 |
| 1285667568 | Prabhjot Kaur | Pathology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-09 |
| Street Address |
1403 W GLEN AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942513817 | Jennifer Hojeong Ahn | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2010-07-21 |
| 1962011080 | Nidhi Priya | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2020-07-24 |
| 1437677846 | Jyothi Deena Dayalu Naidu | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-09-06 |
| 1386161248 | Charlotte Sunaina Jakkula | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-08-23 |
| 1861915506 | Yoosuk Ko | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-07-25 |
| 1104347343 | Yashodhan Ghodke | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2017-06-28 |
| 1194177196 | Meghana Gaharwar | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2016-07-01 |
| 1225384480 | Mangayarkarasi Mathiyazhagan | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2012-07-25 |
| 1568726206 | Familia Dental Peoria 5 LLC | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2012-06-27 |
| 1710265434 | Srinivas R Durshanapalli | Dentist | 1403 W Glen Ave, Peoria, IL 61614-4705 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| 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 |
|---|---|---|---|---|
| 1013530187 | Core Family Dental, LLC | Dentist | 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 | 2020-05-24 |
| 1982248084 | Westbrook Dental Center, P.a. | Dentist | 9276 W Union Hills Dr Ste A, Peoria, AZ 85382-8206 | 2019-10-31 |
| 1699318725 | Mint Dental Care LLC | Dentist | 8258 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4777 | 2019-10-21 |
| 1548822497 | Katherine M Unes | Dentist | 11323 N Pawnee Rd, Peoria, IL 61615-9796 | 2019-07-01 |
| 1992296073 | George S Hariri | Dentist | 7777 W Deer Valley Rd Ste 160, Peoria, AZ 85382-2104 | 2018-05-23 |
| 1619485869 | Thunderbird Dental Studio | Dentist | 9179 W Thunderbird Rd Ste 107, Peoria, AZ 85381-4875 | 2018-01-22 |
| 1588179311 | Dr. Marc C Thevenin Jr. PC | Dentist | 5116 N Big Hollow Rd Ste 101, Peoria, IL 61615-3514 | 2017-12-01 |
| 1629592423 | Jessica Leigh Howard | Dentist | 7966 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4902 | 2017-08-02 |
| 1588193718 | Darren Anderson | Dentist | 28451 N Vistancia Blvd Ste 101, Peoria, AZ 85383-2090 | 2017-06-10 |
| 1962943290 | Optim Dental Peoria-1 LLC | Dentist | 1200 W Main St Ste 9, Peoria, IL 61606-1218 | 2017-03-20 |
| Find all providers in PEORIA | ||||
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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.