KIRANKUMAR TAMMINIDI


Address: 4017 N Prince St, Clovis, NM 88101-9705
Phone: 5757622757

KIRANKUMAR TAMMINIDI (NPI# 1437404407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437404407
Entity Type Individual
Full Name KIRANKUMAR TAMMINIDI
Credential D.M.D
Practice Address 4017 N Prince St
Clovis
NM 88101-9705
Mailing Address 35 Northampton St Apt 2608
Boston
MA 02118-4022
Practice Telephone 5757622757
Mailing Telephone 6177844183
Enumeration Date 2012-07-16
Last Update Date 2012-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DD3718 NM Dental Providers

Office Location

Street Address 4017 N PRINCE ST
City CLOVIS
State NM
Zip Code 88101-9705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841583291 Familia Dentalclovis LLC Dentist 4017 N Prince St, Clovis, NM 88101-9705 2011-05-18
1568022044 Hilary Kate Allen Dentist 4017 N Prince St, Clovis, NM 88101-9705 2019-06-17
1053891150 Sumayia Elnur Dentist 4017 N Prince St, Clovis, NM 88101-9705 2018-08-17
1871035915 Nikhilesh Choudhary Dentist 4017 N Prince St, Clovis, NM 88101-9705 2016-11-07
1740666536 Aditya Desai Dentist 4017 N Prince St, Clovis, NM 88101-9705 2015-08-04
1962814038 Thomas M Pham Dentist 4017 N Prince St, Clovis, NM 88101-9705 2014-05-23
1255687844 Ajneesh Chhabra Dentist 4017 N Prince St, Clovis, NM 88101-9705 2012-08-01
1104104512 Vikram Ganupur Dentist 4017 N Prince St, Clovis, NM 88101-9705 2011-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134748692 Patrick James Scollon Military Health Care Provider 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 2020-04-14
1285274878 Keishla Cota Physical Therapist 100 East Manana Blvd, Unit 1, Clovis, NM 88101 2020-01-10
1659927283 Ndeye Ndour Nurse Anesthetist, Certified Registered 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 2019-08-09
1679132468 Justine Nicole Nunez Nurse Practitioner 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 2019-06-06
1518453521 Moore Psychological Services, Pllc Social Worker 1908 West 21st Street, Clovis, NM 88101 2018-07-03
1912494006 Raesha Russell Behavior Technician 214 West 9th St, Clovis, NM 88101 2018-04-16
1013425800 Vanessa Yardley Registered Nurse 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 2018-01-16
1699204230 Olivia Garcia Technician, Other 1100 W 21st Street, Clovis, NM 88101 2017-06-07
1578006250 Mary Ellen Gray Technician, Other 9408 B Vermont Court, Clovis, NM 88101 2016-11-29
1205296977 Malaney Harmon Behavioral Analyst 2700 E 7th St., Clovis, NM 88101 2016-02-24
Find all providers in zip 88101

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669087623 Eduardo Meza Prieto Dentist 1315 Shaw Ave Ste 102, Clovis, CA 93612-3963 2020-09-15
1588279723 Akram Abdo Saad Dentist 362 N Matisse Ln, Clovis, CA 93611-6188 2020-09-14
1063023158 Lovik Mirzaeian Dds Inc. Dentist 1592 Shaw Ave, Clovis, CA 93611-4028 2020-08-12
1235778002 Prieto Dental Corporation Dentist 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 2019-12-27
1013567882 Kawano Dental Dentist 149 N. Clovis Ave., Suite 101, Clovis, CA 93612-9361 2019-09-13
1639736762 Ozder Dental Corporation Dentist 1330 Shaw Ave, Clovis, CA 93612-3985 2019-05-23
1417477480 Christian Lopez Cornejo Dentist 334 Shaw Ave Ste 103, Clovis, CA 93612-3839 2017-06-21
1194107565 Shenye He Dentist 600 Texas St, Suite #c, Clovis, NM 88101-9410 2015-06-22
1356749311 Ronald Walker Jr. Dentist 1095 Herndon Ave # 102, Clovis, CA 93612-0504 2014-12-08
1184025512 Derek Yoshi Kawano Dentist 180 W Bullard Ave, Suite 101, Clovis, CA 93612-0900 2014-09-04
Find all providers in CLOVIS

Competitor

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City CLOVIS
Zip Code 88101

Improve Information

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Dataset Information

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.

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