DR. SUPAKIT PEANCHITLERTKAJORN (NPI# 1033228978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033228978 |
| Entity Type | Individual |
| Full Name | DR. SUPAKIT PEANCHITLERTKAJORN |
| Credential | D.D.S., MDS |
| Practice Address |
6300 Harry Hines Blvd Suite 600 Dallas TX 75235-5259 |
| Mailing Address |
Po Box 35408 Dallas TX 75235-0408 |
| Practice Telephone | 2144568825 |
| Practice Fax Number | 2144568256 |
| Mailing Telephone | 2144568825 |
| Mailing Fax Number | 2144568256 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
21159 | TX | Dental Providers |
| Street Address |
6300 HARRY HINES BLVD SUITE 600 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225002538 | Plastic and Craniofacial Surgery for Infants and Children, P.a. | Surgery | 6300 Harry Hines Blvd, #600, Dallas, TX 75235-5259 | 2006-02-14 |
| 1881217875 | Alvin Michael | Dentist | 6300 Harry Hines Blvd, Dallas, TX 75235-5259 | 2020-05-25 |
| 1508399387 | Krystal Donae Brown | Registered Nurse | 6300 Harry Hines Blvd, Dallas, TX 75235-5259 | 2017-04-07 |
| 1386190478 | Natasia Walker | Nurse Practitioner | 6300 Harry Hines Blvd, Dallas, TX 75235-5259 | 2016-08-29 |
| 1467815415 | Colleen Metzler | Nurse Practitioner | 6300 Harry Hines Blvd, Dallas, TX 75235-5259 | 2016-03-29 |
| 1962863035 | Cassi Yvonne Davis | Counselor | 6300 Harry Hines Blvd, Dallas, TX 75235-5259 | 2016-03-16 |
| 1215304555 | Sadie Batson | Counselor | 6300 Harry Hines Blvd, Suite 1200, Dallas, TX 75235-5259 | 2015-08-21 |
| 1619392198 | Alice Holland | Clinical Neuropsychologist | 6300 Harry Hines Blvd, Suite 900, Dallas, TX 75235-5259 | 2014-02-20 |
| 1952646267 | Jeffery Ross Armstrong | Counselor | 6300 Harry Hines Blvd, Dallas, TX 75235-5259 | 2012-11-28 |
| 1770867426 | Alexis Inabinet Clyde | Psychologist | 6300 Harry Hines Blvd, Suite 900, Dallas, TX 75235-5259 | 2011-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658972 | Mason Dale Borth | Dentist | 7859 Walnut Hill Ln Ste 275, Dallas, TX 75230-5642 | 2019-06-19 |
| 1871156109 | Glew Pllc | Dentist | 6401 Hillcrest Ave Ste Tbd, Dallas, TX 75205-1852 | 2019-04-22 |
| 1316459365 | Pap Orthodontics Pllc | Dentist | 10909 Webb Chapel Rd Ste 121, Dallas, TX 75229-3739 | 2017-10-31 |
| 1033561014 | Bill Luu | Dentist | 8030 Spring Valley Rd, Dallas, TX 75240-3827 | 2016-07-01 |
| 1023465473 | Colby Cajero | Dentist | 9440 Garland Rd Ste 198, Dallas, TX 75218-3453 | 2016-05-16 |
| 1023482429 | Mohamed Kar-kuri | Dentist | 2525 Wycliff Ave, Suite 107, Dallas, TX 75219-2551 | 2015-11-23 |
| 1538555933 | Gayle Glenn | Dentist | 8325 Walnut Hill Ln Ste 111, Dallas, TX 75231-4212 | 2015-04-13 |
| 1255768743 | Da Lee | Dentist | 6401 Hillcrest Ave Ste 200, Dallas, TX 75205-1852 | 2013-09-30 |
| 1134562010 | Bamf Dental Pllc Dunkz Dental Pllc Mbr | Dentist | 7001 Preston Rd Ste 103, Dallas, TX 75205-1190 | 2013-04-10 |
| 1164782405 | Access Orthodontics of Hampton Pa | Dentist | 322 S Hampton Rd, Dallas, TX 75208-5617 | 2012-05-21 |
| Find all providers in DALLAS | ||||
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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.