PAVITHRA KERAGOD CHANNEGOWDA (NPI# 1912096538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912096538 |
| Entity Type | Individual |
| Full Name | PAVITHRA KERAGOD CHANNEGOWDA |
| Credential | DDS |
| Practice Address |
39340 Fremont Blvd Fremont CA 94538-1320 |
| Mailing Address |
34158 Kaspar Ter Fremont CA 94555-2999 |
| Practice Telephone | 5107393889 |
| Mailing Telephone | 5107242893 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 50576 | FL | Dental Providers |
| Street Address |
39340 FREMONT BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912676 | William Cox Dental Corporation | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2006-04-19 |
| 1811507213 | Malvika Patel | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2020-07-31 |
| 1306049747 | Jennifer Lam | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2007-06-05 |
| 1528156809 | Sudabeh Z Moavenian | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2006-10-11 |
| 1629160643 | Parvati Hari Iyer | Dentist | 39340 Fremont Blvd, Fremont, CA 94538-1320 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473911 | Shyamli V Shah | Dentist | 4205 Mowry Ave Apt 6, Fremont, CA 94538-1265 | 2020-06-30 |
| 1992337067 | Amun Rattan | Dentist | 2820 Calvin Ct, Fremont, CA 94536-5227 | 2020-02-06 |
| 1093368391 | Adam Stump | Dentist | 1003 W Toledo St, Fremont, IN 46737-2075 | 2019-07-17 |
| 1942774989 | Hercules Dental Care In Fremont | Dentist | 556 Mowry Ave Ste 203, Fremont, CA 94536-4186 | 2019-01-13 |
| 1235607169 | Arifa Shaikh | Dentist | 3456 Mowry Ave, Fremont, CA 94538-1422 | 2018-11-08 |
| 1598230161 | Emily Zheng | Dentist | 34400 Fremont Blvd, Fremont, CA 94555-3322 | 2018-10-09 |
| 1225523541 | Sara Saber | Dentist | 194 Francisco Ln Ste 112, Fremont, CA 94539-7924 | 2018-06-28 |
| 1932628757 | Shweta Parulekar | Dentist | 34232 Hogan Ter, Fremont, CA 94555-3839 | 2017-09-13 |
| 1689123275 | Amy Chang | Dentist | 3705 Beacon Ave Ste 101, Fremont, CA 94538-1467 | 2016-09-24 |
| 1942754536 | Donald Lane | Dentist | 46921 Warm Springs Blvd, Fremont, CA 94539-7933 | 2016-08-11 |
| Find all providers in FREMONT | ||||
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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.