DR. NADA BALLOUT KORDAB


Address: 18522 Canoe Brk, San Antonio, TX 78258-1641
Phone: 9012467560

DR. NADA BALLOUT KORDAB (NPI# 1053322438) 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) 1053322438
Entity Type Individual
Full Name DR. NADA BALLOUT KORDAB
Credential D.D.S.
Practice Address 18522 Canoe Brk
San Antonio
TX 78258-1641
Practice Telephone 9012467560
Mailing Telephone 9012467560
Enumeration Date 2006-08-10
Last Update Date 2020-04-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 30089 TX Dental Providers
N 122300000X Dentist 8545 TN Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5619 W Loop 1604 N, Suite 112, San Antonio, TX 782535793 2105380960

Office Location

Street Address 18522 CANOE BRK
City SAN ANTONIO
State TX
Zip Code 78258-1641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881101483 Private Practice Pediatrics 18522 Canoe Brk, San Antonio, TX 78258-1641 2018-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356980163 Jeffrey M. Martinez, M.d., P.a. Surgery 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 2019-12-26
1588226211 New Life Brace and Limb, LLC Prosthetist 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 2019-07-02
1720649080 Miguel Ibarra Pharmacist 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 2019-06-26
1528538113 Kevin Scott Farnsworth Dentist 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 2018-11-27
1891262176 Dentists of Stone Oak, PC Dentist 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 2018-10-25
1003399437 Jesus Alcala Physical Therapist 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 2018-09-11
1184106544 Marissa Kaye Bruton Occupational Therapist 505 Madison Oak, San Antonio, TX 78258 2018-09-02
1508346933 Desiree Carroll Occupational Therapy Assistant 18803 Hardy Oak Drive, San Antonio, TX 78258 2018-08-15
1700376456 Conner Jay Mcnabb Optometrist 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 2018-05-17
1982191516 Freehand Solutions LLC Chiropractor Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 2018-04-19
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417555780 Tpc Dental Care PC Dentist 2610 Tpc Pkwy Ste 102, San Antonio, TX 78259-2394 2020-10-09
1144831629 Eduardo Marmelstein Lima Dentist 7072 Bandera Rd, San Antonio, TX 78238-1201 2020-08-10
1255954525 Wecare Family Dentistry Cosmetic & Dental Center Pllc. Dentist 7228 Bandera Rd Ste 104, San Antonio, TX 78238-1205 2020-05-21
1255951802 Smilegivers Professional Corporation Dentist 8725 Marbach Rd Ste 201, San Antonio, TX 78227-2378 2020-04-23
1114555687 Yvette Alexis Martinez Dentist 25235 Ih 10 W Ste 201, San Antonio, TX 78257-2105 2020-03-31
1861027153 Converse Smiles Pllc Dentist 4230 N Foster Road, San Antonio, TX 78219 2020-03-06
1235761008 Estrella and Rodrigo Dds Pllc Dentist 24815 Us Highway 281 N Ste 108, San Antonio, TX 78258-2601 2020-02-10
1043854995 Sa Smiles, Pllc Dentist 1114 Sw Military Dr Ste 112, San Antonio, TX 78221-1512 2019-11-04
1740839828 Hunter Ryan Acord Dentist 8210 Floyd Curl Dr # 8118, San Antonio, TX 78229-3923 2019-09-10
1922653518 Potranco Dentistry, PC Dentist 10538 Potranco Rd Ste 206, San Antonio, TX 78251-3359 2019-08-09
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Competitor

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City SAN ANTONIO
Zip Code 78258

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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