GANGADHARA CHANDU (NPI# 1821375809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821375809 |
| Entity Type | Individual |
| Full Name | GANGADHARA CHANDU |
| Practice Address |
400 Red Brook Blvd Owings Mills MD 21117-5172 |
| Practice Telephone | 3121212222 |
| Mailing Telephone | 3121212222 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 4444444444444444 | IA | Dental Providers |
| Street Address |
400 RED BROOK BLVD |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-5172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922277532 | Laura Claudette Oyedokun | Dental Assistant | 3707 Lochearn Dr, Baltimore, MD 21207-6361 | 2008-02-27 |
| 1013518331 | Karina Madelline Morales Sandoval | Dental Assistant | 6455 Machine Street, Aberdeen Proving Ground, MD 21005 | 2020-11-03 |
| 1487296620 | Kelvin Bernard Albright Jr. | Dental Assistant | 6455 Machine Street, Apg, MD 21005 | 2019-10-09 |
| 1134571656 | Melizabeth Padron | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-08 |
| 1972955508 | Amber Doty | Dental Assistant | 8476 Simonds Street, Fort George G. Meade, MD 20755 | 2016-07-07 |
| 1629420294 | Cleon Henderson | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G. Meade, MD 20755 | 2016-07-07 |
| 1316397060 | Darlene E Kuroda | Dental Assistant | 8476 Simonds Street, Ste 5700, Fort George G Meade, MD 20755 | 2016-06-14 |
| 1083063242 | Valerie Beasley | Dental Assistant | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| City | OWINGS MILLS |
| Zip Code | 21117 |
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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.