DR. PRASANNA KUMAR SHIVAPUJA (NPI# 1710067095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710067095 |
| Entity Type | Individual |
| Full Name | DR. PRASANNA KUMAR SHIVAPUJA |
| Credential | BDS,MDS,DDS,MS ORTHO |
| Practice Address |
25979 Kelly Rd Roseville MI 48066-4941 |
| Practice Telephone | 5867793440 |
| Practice Fax Number | 5867790091 |
| Mailing Telephone | 5867793440 |
| Mailing Fax Number | 5867790091 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
14629 | MI | Dental Providers |
| Street Address |
25979 KELLY RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1114436441 | Christian Favero | Dentist | 1603 Eureka Rd Ste 400, Roseville, CA 95661-3028 | 2017-09-29 |
| 1225432685 | Mark H Holt | Dentist | 1421 Secret Ravine Pkwy Ste 121, Roseville, CA 95661-6045 | 2014-10-14 |
| 1295171197 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 1230 Roseville Pkwy, Ste 120, Roseville, CA 95678-3586 | 2013-05-17 |
| 1922380823 | Ryan Raymond Plewe | Dentist | 10357 Fairway Dr Ste 100, Roseville, CA 95678-3544 | 2011-09-15 |
| 1154610921 | Aida Ameri | Dentist | 2012 Katherine Pl, Roseville, CA 95678-1015 | 2011-04-01 |
| 1639362288 | Marc C. Dunn | Dentist | 10012 Foothills Blvd, Roseville, CA 95747-7102 | 2007-08-27 |
| 1295930006 | Garri Tsibel | Dentist | 1565 Eureka Rd, Roseville, CA 95661-3045 | 2007-06-20 |
| 1568532323 | Steven W Frank | Dentist | 4021 Woodcreek Oaks Blvd, Suite 100, Roseville, CA 95747 | 2006-11-09 |
| 1679591556 | Thais Carvalho Booms | Dentist | 1258 Coloma Way, Roseville, CA 95661 | 2006-07-18 |
| Find all providers in ROSEVILLE | ||||
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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.