SARITHA GAJAWADA (NPI# 1376077974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376077974 |
Entity Type | Individual |
Full Name | SARITHA GAJAWADA |
Practice Address |
15354 Plumstone Dr Eden Prairie MN 55347-2061 |
Practice Telephone | 6122443143 |
Mailing Telephone | 6122443143 |
Enumeration Date | 2017-04-20 |
Last Update Date | 2017-04-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | DT85 | MN | Dental Providers |
Street Address |
15354 PLUMSTONE DR |
City | EDEN PRAIRIE |
State | MN |
Zip Code | 55347-2061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
Find all providers in zip 55347 |
Taxonomy Code | 125J00000X |
Grouping | Dental Providers |
Classification | Dental Therapist |
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
1346506011 | Lindsey Lee Tischer | Dental Therapist | 205 Pleasant Ave, Park Rapids, MN 56470-1432 | 2012-04-07 |
Find all providers with the same taxonomy |
City | EDEN PRAIRIE |
Zip Code | 55347 |
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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.