SAMANTHA KENDALL (NPI# 1205247434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205247434 |
| Entity Type | Individual |
| Full Name | SAMANTHA KENDALL |
| Credential | D.D.S. |
| Practice Address |
520 W 7th St San Pedro CA 90731 |
| Mailing Address |
520 W 7th St San Pedro CA 90731-3116 |
| Practice Telephone | 3108325361 |
| Mailing Telephone | 3108325361 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 102538 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
058008 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18039 Crenshaw Blvd Ste 100, Torrance, CA 905045194 | 3105324005 | |
| 3114 Ditmars Blvd, Astoria, NY 111052306 | 7187281828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374173 | Samantha Kendall | Nurse Practitioner | 12550 Tx 29, Liberty Hill, TX 78642 | 2019-09-11 |
| 1245611482 | Samantha Kendall | Physical Therapist | 2002 Boardwalk Commons Drive, O'fallon, MO 63368 | 2015-06-12 |
| 1922594043 | Samantha Bowen Kendall | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2018-07-02 |
| 1295238269 | Samantha Kendall | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642 | 2018-03-15 |
| Street Address |
520 W 7TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013150838 | Erika Nakamura Gomez | Dentist | 520 W 7th St, San Pedro, CA 90731-3116 | 2009-04-08 |
| 1538451208 | San Pedro Dental | Dentist | 520 W 7th St, San Pedro, CA 90731-3116 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| 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 |
|---|---|---|---|---|
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1578964094 | Aleksandar Vukotic | Dentist | 728 W 16th St, #b, San Pedro, CA 90731-4615 | 2014-09-16 |
| 1881931624 | Arthur Marshall | Dentist | 2515 S Western Ave Ste 109, San Pedro, CA 90732-4643 | 2013-01-14 |
| 1306123369 | Brigida Momand Abdelnaby | Dentist | 1441 W 8th St, San Pedro, CA 90732-3803 | 2011-11-04 |
| 1891940722 | Nicholas S. Jaksic, Dds, Inc. | Dentist | 1360 W 6th St Ste 285, San Pedro, CA 90732-3558 | 2008-11-19 |
| 1639340425 | Branislav Madzarevic | Dentist | 312 N Gaffey St Ste 201, San Pedro, CA 90731 | 2008-03-19 |
| 1699950469 | John Michael Tomich | Dentist | 783 W 9th St, San Pedro, CA 90731 | 2007-12-29 |
| 1912190992 | Giti Massoudian | Dentist | 1411 W 8th St, San Pedro, CA 90732-3803 | 2007-08-22 |
| 1306046990 | Coeli Tuvera | Dentist | 312 N Gaffey St, Suite 201, San Pedro, CA 90731-1955 | 2007-07-20 |
| Find all providers in SAN PEDRO | ||||
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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.