DR. CHANDUR PK WADHWANI (NPI# 1689746711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689746711 |
| Entity Type | Individual |
| Full Name | DR. CHANDUR PK WADHWANI |
| Credential | DDS, MSD |
| Practice Address |
12715 Bel-red Rd. Suite 201 Bellevue WA 98005-2627 |
| Mailing Address |
12715 Bel-red Rd Suite 201 Bellevue WA 98005-2627 |
| Practice Telephone | 4254531117 |
| Practice Fax Number | 4254621878 |
| Mailing Telephone | 4254531117 |
| Mailing Fax Number | 4254621878 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DE00010028 | WA | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
10028 | WA | Dental Providers |
| Street Address |
12715 BEL-RED RD. SUITE 201 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609229699 | Albert Chung Dental Clinic | Dentist | 12715 Bel Red Rd Ste 201, Bellevue, WA 98005-2627 | 2016-07-14 |
| 1013307982 | Carolina Cespedes | Dentist | 1200 112th Ave Ne Ste C110, Bellevue, WA 98004-3737 | 2015-01-30 |
| 1386851749 | Weite Victor Lee | Dentist | 4437 170th Avenue Se, Bellevue, WA 98006 | 2007-05-16 |
| 1154478097 | Warren Jay Libman | Dentist | 14595 Bel Red Rd, Suite 100, Bellevue, WA 98007-3928 | 2007-01-04 |
| 1992877021 | Dennis H Smith | Dentist | 1200 116th Ave Ne Ste A, Bellevue, WA 98004-3802 | 2006-11-14 |
| 1134676554 | Factoria Dentistry | Dentist | 4307 Factoria Blvd Se Ste 1, Bellevue, WA 98006-1936 | 2016-09-01 |
| 1366608044 | Hassan Chihab | Dentist | 4301 Factoria Blvd Se, Suite B, Bellevue, WA 98006-1982 | 2008-08-01 |
| 1679750103 | Warren J Libman Dds,msd,ps | Dentist | 14595 Bel Red Rd, #100, Bellevue, WA 98007-3928 | 2008-01-28 |
| 1558552604 | Kwok-hung (albert) Chung | Dentist | 1200 116th Ave Ne Ste A, Bellevue, WA 98004-3802 | 2007-08-05 |
| 1497765713 | Daniel Ghorbani Mashoof | Dentist | 1811 156th Ave Ne, #6, Bellevue, WA 98007 | 2006-08-09 |
| Find all providers in BELLEVUE | ||||
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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.