JONATHAN L MADDATU DDS INC (NPI# 1265696173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265696173 |
Entity Type | Organization |
Organization Name | JONATHAN L MADDATU DDS INC |
Practice Address |
6736 N. Sepulveda Blvd Van Nuys CA 91411-3306 |
Mailing Address |
6736 N. Sepulveda Blvd Van Nuys CA 91411 |
Practice Telephone | 8187868803 |
Practice Fax Number | 8187868570 |
Mailing Telephone | 8187868803 |
Mailing Fax Number | 8187868570 |
Enumeration Date | 2008-07-10 |
Last Update Date | 2009-10-22 |
Authorized Official Name | DR. JONATHAN LORENZO MADDATU (DENTIST) |
Authorized Official Telephone | 8187868803 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
55562 | CA | Dental Providers |
Street Address |
6736 N. SEPULVEDA BLVD |
City | VAN NUYS |
State | CA |
Zip Code | 91411-3306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
Find all providers in zip 91411 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215543327 | Anahita Behshadpour Dental Corporation | Dentist | 14435 Hamlin St Ste 205, Van Nuys, CA 91401-6205 | 2020-09-23 |
1205259769 | Albertina Silva Dds, Inc | Dentist | 14649 Victory Blvd Ste 24, Van Nuys, CA 91411-4101 | 2014-02-03 |
1548551492 | Matthew Alan Caligiuri | Dentist | 14432 Gilmore St, Suite B, Van Nuys, CA 91401-1429 | 2011-04-27 |
1740426162 | Bayramyan Dds Dental Corp. | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1480 | 2009-01-07 |
1659526242 | Nissan Rafael Sharaf | Dentist | 15114 Sherman Way Apt 210, Van Nuys, CA 91405-2089 | 2008-11-24 |
1003061193 | R. Bruce Kautz | Dentist | 5816 Van Nuys Blvd, Van Nuys, CA 91401-4218 | 2008-11-18 |
1184801789 | Dr. Jeannie Ann Molato D.m.d. | Dentist | 7133 Sepulveda Blvd., Van Nuys, CA 91405 | 2008-01-25 |
1215117304 | Elizabeth May Estrada | Dentist | 16935 Vanowen St Ste A, Van Nuys, CA 91406-4565 | 2007-11-06 |
1689869448 | Mihai Nicolae | Dentist | 7335 Van Nuys Blvd Ste 104, Van Nuys, CA 91405-1951 | 2007-09-13 |
1366636896 | Idan Snapir Dds Inc | Dentist | 15704 1/2 Vanowen St, Van Nuys, CA 91406-5029 | 2007-08-28 |
Find all providers in VAN NUYS |
Please comment or provide details below to improve the information on JONATHAN L MADDATU DDS INC.
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.