LA COSTA DENTAL OF KOSTORYZ PA (NPI# 1245658798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245658798 |
| Entity Type | Organization |
| Organization Name | LA COSTA DENTAL OF KOSTORYZ PA |
| Practice Address |
4506 Kostoryz Rd Corpus Christi TX 78415-5023 |
| Mailing Address |
3620 E Rosedale St Fort Worth TX 76105-2449 |
| Practice Telephone | 8175313500 |
| Practice Fax Number | 8175313501 |
| Mailing Telephone | 8175313500 |
| Mailing Fax Number | 8175313501 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | DR. TIEN DINH PHAN (DENTIST) |
| Authorized Official Telephone | 8175313500 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22334 | TX | Dental Providers |
| Street Address |
4506 KOSTORYZ RD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78415-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323149 | Veena S Raja | Dentist | 4506 Kostoryz Rd, Corpus Christi, TX 78415-5023 | 2020-07-15 |
| 1598373532 | Phuong Le | Dentist | 4506 Kostoryz Rd, Corpus Christi, TX 78415-5023 | 2020-07-15 |
| 1851952394 | Ronak Hansrajbhai Thesiya | Dentist | 4506 Kostoryz Rd, Corpus Christi, TX 78415-5023 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1578093506 | Texas Wellness Center of Corpus Christi Pllc | Chiropractor | 6122 Kostoryz Road, 102, Corpus Christi, TX 78415 | 2017-06-13 |
| 1740574300 | William Lee Townsend | Technician, Other | 2910 South Padre Island Drive, Corpus Christi, TX 78415 | 2011-06-01 |
| 1144523671 | Coastal Bend Wellness Foundation Inc | Case Manager/Care Coordinator | 2882 Holly Rd., Corpus Christi, TX 78415 | 2010-12-06 |
| 1528230422 | True Medical Imaging | Clinic/Center | 3502 Spid, Corpus Christi, TX 78415 | 2008-03-31 |
| 1396949152 | Medical Specialist Group Pa | Physical Medicine & Rehabilitation | 3434 Saratoga Boulevard, Corpus Christi, TX 78415 | 2007-06-13 |
| 1396809158 | Access Rehab & Mobility LLC | Durable Medical Equipment & Medical Supplies | 4531 Ayers St, Suite 304, Corpus Christi, TX 78415 | 2006-12-19 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1407920200 | Charles Albert Votzmeyer Jr. | Chiropractor | 3434 Saratoga 102, Corpus Christi, TX 78415 | 2006-11-20 |
| 1144390899 | American Habilitation Services Inc | Intermediate Care Facility, Mentally Retarded | 3031 Mcardle, Corpus Christi, TX 78415 | 2006-11-09 |
| Find all providers in zip 78415 | ||||
| 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 |
|---|---|---|---|---|
| 1194247486 | Laura Juliana Albarracin | Dentist | 5425 Ocean Dr, Corpus Christi, TX 78412-2747 | 2017-07-09 |
| 1194246702 | Moiz Mohammed Abdul | Dentist | 1641 Nile Dr, Apt - 223, Corpus Christi, TX 78415-7841 | 2017-07-05 |
| 1104352830 | Anna Ashley | Dentist | 5314 Everhart Rd Ste A, Corpus Christi, TX 78411-4840 | 2017-05-01 |
| 1477091932 | Punit Patel | Dentist | 5792 Weber Rd, Corpus Christi, TX 78413-3965 | 2017-02-05 |
| 1942686225 | Ikenna K Okafor | Dentist | 1200 Santa Fe St, Corpus Christi, TX 78404-2339 | 2015-08-10 |
| 1376934802 | Amisha Revawala | Dentist | 5721 Timbergate Dr Apt 11201, Corpus Christi, TX 78414-2171 | 2015-02-05 |
| 1104234632 | David Jolley | Dentist | 5756 S Staples St Ste A3, Corpus Christi, TX 78413-3782 | 2014-07-29 |
| 1255742110 | Flour Bluff Dental Pllc | Dentist | 10529 S Padre Island Dr, Corpus Christi, TX 78418-3443 | 2014-05-14 |
| 1114369238 | Acdental Center, Pllc | Dentist | 4117 S. Staples Blvd, Suite 300, Corpus Christi, TX 78411 | 2013-07-18 |
| 1639426059 | William Joseph Bates | Dentist | 10651 E St Bldg 100, Corpus Christi, TX 78419-5130 | 2012-08-06 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78415 |
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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.