KRISTI SOASH FERNANDO


Address: 1780 Old Highway 50 E, Union, MO 63084-3397
Phone: 6365828100

KRISTI SOASH FERNANDO (NPI# 1841438421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841438421
Entity Type Individual
Full Name KRISTI SOASH FERNANDO
Credential D.D.S.
Practice Address 1780 Old Highway 50 E
Union
MO 63084-3397
Mailing Address 1800 Community
Clinton
MO 64735-8804
Practice Telephone 6365828100
Mailing Telephone 6608858131
Enumeration Date 2009-02-04
Last Update Date 2016-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
2901019894 MI Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
2011030116 MO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 1841438421 05

Office Location

Street Address 1780 OLD HIGHWAY 50 E
City UNION
State MO
Zip Code 63084-3397

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831192830 Clara Lee Parks Family Medicine 1780 Old Highway 50 E, Union, MO 63084-3397 2005-05-23
1376175828 Jennifer Marie Hart Marriage & Family Therapist 1780 Old Highway 50 E, Union, MO 63084-3397 2020-02-12
1710527866 Ada Youpha Sengchannavong Social Worker 1780 Old Highway 50 E, Union, MO 63084-3397 2020-01-07
1275175499 Ginger Ann Price Counselor 1780 Old Highway 50 E, Union, MO 63084-3397 2019-10-09
1831650084 Kristen Garber Social Worker 1780 Old Highway 50 E, Union, MO 63084-3397 2019-03-29
1699239111 Kurt Frederick Kleinschmidt Counselor 1780 Old Highway 50 E, Union, MO 63084-3397 2019-01-29
1326510215 Margaret Anne Ellett Nurse Practitioner 1780 Old Highway 50 E, Union, MO 63084-3397 2018-12-18
1952886160 Lynn Rainey Counselor 1780 Old Highway 50 E, Union, MO 63084-3397 2018-10-03
1992299176 Elise Marie Eichberg Counselor 1780 Old Highway 50 E, Union, MO 63084 2018-06-20
1437642402 Jacklyn League Counselor 1780 Old Highway 50 E, Union, MO 63084 2018-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407490915 Megan N Pruett Counselor 107 Chesire Lane, Union, MO 63084 2019-10-29
1093297152 Community Care Center of Union Inc Skilled Nursing Facility 1080 Marie Lane, Union, MO 63084 2018-09-05
1437697844 Sally Lavigne Behavioral Analyst 1281 Hwy 47, Union, MO 63084 2017-02-06
1275912107 Ralph B Smith Social Worker 1780 Old Highway 50 E Ste 113, Union, MO 63084 2015-05-26
1659771707 Whitney Paige Scanlon Speech-Language Pathologist 770 Independence Drive, Union, MO 63084 2014-08-26
1487066775 Helen Overstreet Massage Therapist 302 Us Highway 50 West, Suite B, Union, MO 63084 2014-05-21
1093152332 Katie Henry Counselor 1 Par Court, Union, MO 63084 2013-05-28
1437402336 Rainbow Abilities Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 306 W Hwy 50, Union, MO 63084 2012-10-17
1962761866 George Howard Bergevin Chiropractor 405 Us Hwy 50, Ste. 200, Union, MO 63084 2012-05-11
1336478866 Kristine Marie Posinski Physical Therapist 770 Independence Dr, Union, MO 63084 2009-12-11
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508400474 Regenesis Organization Community Health Center Dentist 115 Thomas St Ste C, Union, SC 29379-2147 2019-11-04
1932760212 Tatevik Melkumian Dentist 1050 Galloping Hill Rd Ste 103, Union, NJ 07083-7980 2019-06-26
1881150449 Emerald Dental Spa Dentist 397 Chestnut St Ste 1, Union, NJ 07083-9419 2019-02-19
1760887897 Umut Caglar Dds Pa Dentist 2333 Morris Ave Ste C101, Union, NJ 07083-5717 2014-10-31
1083028211 Michael L Lochtefeld Dentist 408 S Duncan Byp, Union, SC 29379-7225 2014-06-16
1356681597 Viviana C Brignoni Dentist 1961 Morris Ave Ste B4, Union, NJ 07083-3519 2013-02-25
1235496597 Adis Hasanagic Dentist 1780 Old Us Hwy 50 E, Union, MO 63084-3397 2012-04-11
1699904409 Katherine L Kilcollin, Dds Pllc Dentist 247 Health Center Drive, Union, WV 24983 2009-07-14
1548436348 Roberto J Espinosa Dentist 1465 Morris Ave, Union, NJ 07083-3303 2008-05-01
1043421639 H. Russell Caston Dentist 103 S Boyce St, Union, SC 29379-2203 2007-05-24
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Competitor

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City UNION
Zip Code 63084

Improve Information

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Dataset Information

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.

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