DR. KELSEY CHILDERS (NPI# 1215388012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215388012 |
| Entity Type | Individual |
| Full Name | DR. KELSEY CHILDERS |
| Credential | DMD |
| Practice Address |
19712 W 130th St Strongsville OH 44136 |
| Mailing Address |
19712 W 130th St Strongsville OH 44136-8435 |
| Practice Telephone | 4408784444 |
| Mailing Telephone | 4408784444 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.024837 | OH | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Brittain Rd, Ste 91, Akron, OH 44310 | 3306309222 | 3306805501 |
| Street Address |
19712 W 130TH ST |
| City | STRONGSVILLE |
| State | OH |
| Zip Code | 44136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053565572 | Marijan Pavicic | Dentist | 19712 W 130th St, Strongsville, OH 44136-8435 | 2008-11-11 |
| 1942864392 | Hamidreza Ghorbaniparvar | Dentist | 19712 W 130th St, Strongsville, OH 44136-8435 | 2019-04-30 |
| 1790939213 | Thomas David Thomas | Dentist | 19712 W 130th St, Strongsville, OH 44136-8435 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887688 | Elizabeth M Smutek | Homemaker | 16920 Deer Path Dr, Cleveland, OH 44136 | 2020-09-24 |
| 1528507332 | Ridge Park Urgent Care LLC | Clinic/Center | 16244 Pearl Road, Strongsville, OH 44136 | 2017-02-14 |
| 1871047126 | Ralph Rivera | Social Worker | 15251 Colebright Rd, Strongsville, OH 44136 | 2016-08-04 |
| 1598184392 | Kelly Nye Sutherland | Physical Therapist | 16761 South Park Center/ St30, Strongsville, OH 44136 | 2014-04-09 |
| 1427475383 | Shena Colburn | Physical Therapy Assistant | 19502 Pearl Road, Strongsville, OH 44136 | 2014-03-27 |
| 1851640445 | Dentkos Endodontics, LLC | Dentist | 16626 Pearl Rd, Strongsville, OH 44136 | 2012-08-29 |
| 1861777823 | Connie Agui | Registered Nurse | 19017 Turkey Meadow Lane, Strongsville, OH 44136 | 2011-10-20 |
| 1629376397 | America's Best Contacts & Eyeglasses | Technician/Technologist | 17260 Royalton Road, Strongsville, OH 44136 | 2011-03-04 |
| 1932432267 | Costco Wholesale Corporation | Pharmacy | 16690 Royalton Rd, Strongsville, OH 44136 | 2009-09-18 |
| 1003051715 | Francois Abi Fadel | Internal Medicine | Strongsville Family Health and Surgery Center, 16761 South Park Center, Strongsville, OH 44136 | 2008-12-09 |
| Find all providers in zip 44136 | ||||
| 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 |
|---|---|---|---|---|
| 1831487677 | Dwetta Santos | Dentist | 16360 Pearl Rd, Strongsville, OH 44136-6040 | 2011-07-14 |
| 1235343625 | Chris S Ruggiero | Dentist | 16360 Pearl Road, Strongsville, OH 44136 | 2007-05-09 |
| 1487775359 | Arlene Joy Coloma | Dentist | 15414 Pearl Rd, Strongsville, OH 44136-6022 | 2007-04-02 |
| 1114053691 | David Allen Sharkey | Dentist | 11221 Pearl Rd, Strongsville, OH 44136 | 2007-02-26 |
| 1447399209 | Chakradhar Guduguntla | Dentist | 16750 Royalton Rd, Strongsville, OH 44136-4435 | 2007-02-06 |
| 1700960754 | North Coast Family Dental Care Inc. | Dentist | 20886 Drake Rd, Strongsville, OH 44149-5850 | 2006-10-25 |
| 1639142326 | Meckler Dental Providers (strongsville), Inc. | Dentist | 13339 Pearl Rd, Strongsville, OH 44136-3403 | 2006-02-11 |
| 1942864392 | Hamidreza Ghorbaniparvar | Dentist | 19712 W 130th St, Strongsville, OH 44136-8435 | 2019-04-30 |
| 1912421041 | Matthew Joseph Elbert | Dentist | 15207 Pearl Rd, Strongsville, OH 44136-5020 | 2017-07-31 |
| 1891105847 | Theodorou Dental Group LLC | Dentist | 14783 Pearl Rd, Strongsville, OH 44136-5026 | 2014-04-30 |
| Find all providers in STRONGSVILLE | ||||
| City | STRONGSVILLE |
| Zip Code | 44136 |
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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.