DR. ELIZABETH K. PRADA DA COSTA (NPI# 1992907471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992907471 |
Entity Type | Individual |
Full Name | DR. ELIZABETH K. PRADA DA COSTA |
Credential | D.M.D. |
Practice Address |
100 Sparks Valley Rd Suite C Sparks MD 21152-9342 |
Mailing Address |
100 Sparks Valley Rd. Suite C Sparks MD 21152 |
Practice Telephone | 4107718200 |
Practice Fax Number | 4107718201 |
Mailing Telephone | 4107718200 |
Mailing Fax Number | 4107718201 |
Enumeration Date | 2007-06-05 |
Last Update Date | 2014-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS036963 | PA | Dental Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2901020620 | MI | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
15333 | MD | Dental Providers |
Street Address |
100 SPARKS VALLEY RD SUITE C |
City | SPARKS |
State | MD |
Zip Code | 21152-9342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841308962 | Shari C Kohn | Dentist | 100 Sparks Valley Rd, Ste C, Sparks, MD 21152-9330 | 2006-08-28 |
1003352790 | Hunt Valley Orthodontics, Inc. | Dentist | 100 Sparks Valley Rd, Suite C, Sparks, MD 21152-9342 | 2017-01-18 |
1598076564 | Melena Evancho Parlette | Dentist | 100 Sparks Valley Rd, Ste C, Sparks, MD 21152-9342 | 2010-06-24 |
1154486280 | Sandra E Selnick | Dentist | 100 Sparks Valley Rd, Ste C, Sparks, MD 21152-9330 | 2006-12-27 |
1306942586 | Physiotherapy Associates | Physical Therapist | 100 Sparks Valley Rd, Sparks, MD 21152-9330 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942554837 | Tridentusa Mobile Clinical Services, LLC | Nurse Practitioner | 930 Ridgebrook Rd Fl 3, Sparks, MD 21152 | 2012-10-31 |
1528321635 | Caitlin Lee Sprouse | Occupational Therapist | 14550a York Road, Sparks, MD 21152 | 2012-06-22 |
1184954679 | Suzanne Heid Geisbert | Behavioral Analyst | 14550 York Rd, Sparks, MD 21152 | 2010-01-05 |
1790850519 | Joan Li Wang | Obstetrics & Gynecology | 913 Ridgebrook Road, Suite 314, Sparks, MD 21152 | 2006-11-21 |
1346331410 | Rosemaria K Kariampuzha | Pharmacist | 112 Hunt Creek Lane, Sparks, MD 21152 | 2006-09-27 |
1982649810 | Matthew Joseph Lepito | Chiropractor | 10 Fila Way, Suite 208, Sparks, MD 21152 | 2006-06-17 |
1467415984 | Bionicare Medical Technologies Inc | Durable Medical Equipment & Medical Supplies | 53 Loveton Circle, Sparks, MD 21152 | 2006-04-07 |
1093797839 | Aubrey Richardson | Psychiatry & Neurology | 164 English Run Cir, Sparks, MD 21152 | 2005-11-17 |
1184110710 | Alexis Crystal Cruz | Behavior Technician | 14550 York Rd, Sparks, MD 21152 | 2018-07-06 |
1346670619 | Alicia C. Kilpatrick | Physician Assistant | 10 Fila Way, Suite 205, Sparks, MD 21152 | 2013-11-22 |
Find all providers in zip 21152 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073995213 | Northern Nevada Dental Specialty Group | Dentist | 3150 Vista Blvd, Suite 110, Sparks, NV 89436-6712 | 2015-06-24 |
1396012217 | Shari C Kohn, Dds,pa | Dentist | 100 Sparks Valley Rd Ste C, Sparks, MD 21152-9330 | 2011-11-21 |
1841308962 | Shari C Kohn | Dentist | 100 Sparks Valley Rd, Ste C, Sparks, MD 21152-9330 | 2006-08-28 |
1124562269 | Michael and Chan Smiles Ltd | Dentist | 850 I St, Sparks, NV 89431-3689 | 2016-12-08 |
1225414121 | Salar and Delisle LLC | Dentist | 3160 N Truckee Ln, Sparks, NV 89434-1583 | 2015-08-03 |
1215332374 | Cariann E. Champagne, Dds, LLC | Dentist | 735 Sparks Blvd, Sparks, NV 89434-7930 | 2014-10-30 |
1598076564 | Melena Evancho Parlette | Dentist | 100 Sparks Valley Rd, Ste C, Sparks, MD 21152-9342 | 2010-06-24 |
1457474496 | Lloyd B. Austin Dds | Dentist | 850 I St, Sparks, NV 89431-3608 | 2007-04-06 |
1669511887 | Joseph Yaomin Chan | Dentist | 850 I St, Sparks, NV 89431-3608 | 2007-02-05 |
1831266147 | Cariann Elaine Champagne | Dentist | 925 Roberta Ln, Sparks, NV 89431-1894 | 2006-11-29 |
Find all providers in SPARKS |
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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.