DR. KISHORE SAMA (NPI# 1760798979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760798979 |
Entity Type | Individual |
Full Name | DR. KISHORE SAMA |
Credential | BDS, MSD. |
Practice Address |
1110 W William Cannon Dr Ste 401 Austin TX 78745-5498 |
Mailing Address |
1110 W William Cannon Dr Ste 401 Austin TX 78745-5468 |
Practice Telephone | 5124455811 |
Mailing Telephone | 5124455811 |
Enumeration Date | 2010-08-25 |
Last Update Date | 2015-02-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
28488 | TX | Dental Providers |
Street Address |
1110 W WILLIAM CANNON DR STE 401 |
City | AUSTIN |
State | TX |
Zip Code | 78745-5498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174938088 | John Schneider | Dentist | 1110 W William Cannon Dr Ste 401, Austin, TX 78745-5498 | 2014-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
Find all providers in zip 78745 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
1821519349 | Alireza Torabi | Dentist | 5000 W Slaughter Ln Ste 203, Austin, TX 78749-4057 | 2017-07-06 |
1558774554 | Austin Perio Health | Dentist | 4310 Medical Pkwy Ste 201, Austin, TX 78756-3331 | 2014-06-06 |
1619393469 | Enrique Cruz | Dentist | 115 Sandra Muraida Way, Apt 631, Austin, TX 78703-4696 | 2014-03-17 |
1285074260 | Marcy Jo Watson | Dentist | 11615 Angus Rd Ste 101, Austin, TX 78759-4064 | 2013-07-05 |
1568717460 | Cuong Huy Ha | Dentist | 2500 W William Cannon Dr Ste 103, Austin, TX 78745-5287 | 2012-07-17 |
1114165685 | Joshua Roland Chapa | Dentist | 4310 Medical Pkwy Ste 120, Austin, TX 78756-3331 | 2009-01-21 |
1013163260 | Siddharth Gupta | Dentist | 12319 N Mopac Expy Ste 160, Austin, TX 78758-2648 | 2008-08-07 |
1528286952 | Melanie Danielle Robinson | Dentist | 3305 Northland Dr Ste 204, Austin, TX 78731-5011 | 2007-04-23 |
1326183351 | Wan Hin Humphrey Ho | Dentist | 12854 Research Blvd, Austin, TX 78750-3222 | 2007-02-20 |
Find all providers in AUSTIN |
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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.