DR. SRIDHAR MEDA (NPI# 1225264054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225264054 |
Entity Type | Individual |
Full Name | DR. SRIDHAR MEDA |
Credential | DMD |
Practice Address |
1005 East Lasalle Ave South Bend IN 46617 |
Mailing Address |
14983 Fairfield Dr Granger IN 46530 |
Practice Telephone | 5742457504 |
Enumeration Date | 2009-06-08 |
Last Update Date | 2012-10-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 12011708 | IN | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
DN1855074 | MA | Dental Providers |
Street Address |
1005 EAST LASALLE AVE |
City | SOUTH BEND |
State | IN |
Zip Code | 46617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
1366579005 | South Bend Childrens Dentistry PC | Dentist | 103 S Eddy, South Bend, IN 46617 | 2007-02-28 |
Find all providers in zip 46617 |
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 |
---|---|---|---|---|
1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
1699241216 | Candace Jane Rich | Dentist | 220 Dean Johnson Blvd Rm 184, South Bend, IN 46601-3415 | 2018-10-22 |
1811325665 | Dennis Lee Carter | Dentist | 53360 Crestview Dr, South Bend, IN 46635-1354 | 2013-10-14 |
1598034894 | Klopenstine Family Dentistry PC | Dentist | 52120 State Road 933, South Bend, IN 46637-3846 | 2011-12-16 |
1730480898 | David Allan Varner | Dentist | 1902 E Ireland Rd, South Bend, IN 46614-2863 | 2010-11-05 |
1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
1265693634 | Thomas Gene Magnuson | Dentist | 4550 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-06-18 |
1427259175 | Nicole Lambert Hurcomb | Dentist | 51584 State Road 933, South Bend, IN 46637-1704 | 2007-05-30 |
1609092170 | Jennifer Roberts | Dentist | 1605 N Ironwood Dr, South Bend, IN 46635-1843 | 2007-04-17 |
1740326636 | George Washington Surguy | Dentist | 521 East Monroe Street, South Bend, IN 46601-2325 | 2007-01-29 |
Find all providers in SOUTH BEND |
City | SOUTH BEND |
Zip Code | 46617 |
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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.