DR. PRIYA VINOTHINI COLLURU (NPI# 1376953471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376953471 |
Entity Type | Individual |
Full Name | DR. PRIYA VINOTHINI COLLURU |
Practice Address |
3913, Wheeler's Street Fort Worth TX 76111 |
Practice Telephone | 6827470111 |
Practice Fax Number | 5049418170 |
Mailing Telephone | 6827470111 |
Mailing Fax Number | 5049418170 |
Enumeration Date | 2014-04-29 |
Last Update Date | 2016-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
S-714 | LA | Dental Providers |
Street Address |
3913, WHEELER'S STREET |
City | FORT WORTH |
State | TX |
Zip Code | 76111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
1104044544 | Bill Houston Puryear | Family Medicine | 4010 East Belknap, Fort Worth, TX 76111 | 2007-04-23 |
Find all providers in zip 76111 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679627590 | Carlos G. Tello Dds Ms Pa | Dentist | 5340 Davis Blvd, Fort Worth, TX 76180 | 2007-01-22 |
1033133699 | Andy Chi Chang | Dentist | 1501 Handley Dr, Fort Worth, TX 76112-3328 | 2006-07-27 |
1326585274 | Fossil Ridge Family Dentistry Pllc | Dentist | 3900 N Tarrant Pkwy Ste 100, Fort Worth, TX 76244-5410 | 2017-01-30 |
1356683486 | James Fischer | Dentist | 1005 5th Ave, Fort Worth, TX 76104-2937 | 2013-03-27 |
1619280328 | Yaser Al-yakoubi | Dentist | 6302 Meadowbrook Dr, Suite#112, Fort Worth, TX 76112-5162 | 2010-07-22 |
1972711794 | Elite Dental Group, Pa | Dentist | 1501 Handley Dr, Fort Worth, TX 76112-3328 | 2007-05-18 |
1003825100 | Michael D Cosgrove | Dentist | 1005 5th Ave, Fort Worth, TX 76104-2937 | 2006-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386779 | Daniela Rubiano Mejia | Dentist | 505 W Louis Henna Blvd Ste 505, Austin, TX 78728-1701 | 2020-11-05 |
1235738527 | Lorena Malpica | Dentist | 5602 Presidio Pkwy Apt 1411, San Antonio, TX 78249-3093 | 2020-10-19 |
1922606870 | Luciano Retana | Dentist | 1235 Kinwest Pkwy, Irving, TX 75063-3403 | 2020-10-13 |
1295332393 | Jonathan P Hawley | Dentist | 2423 Barrow St, Abilene, TX 79605-6203 | 2020-10-02 |
1629684402 | Ramon Noel Hernandez | Dentist | 13000 N Interstate 35 Ste 206, Austin, TX 78753-1030 | 2020-09-17 |
1720697600 | Silvia Sobrecueva | Dentist | 4724 Sweetwater Blvd Ste 103, Sugar Land, TX 77479-3150 | 2020-07-27 |
1922620400 | Luis Herra | Dentist | 3838 N Braeswood Blvd Apt 249, Houston, TX 77025-3018 | 2020-05-07 |
1396381398 | Sixth Dental Partner Pllc | Dentist | 6700 Stonebrook Pkwy Ste 101, Frisco, TX 75034-9639 | 2019-11-25 |
1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76111 |
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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.