JEANETTE MIKULIK (NPI# 1508384595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508384595 |
| Entity Type | Individual |
| Full Name | JEANETTE MIKULIK |
| Practice Address |
5405 S Pleasant Valley Rd Ste 108 Austin TX 78744-3828 |
| Mailing Address |
54 Rainey St Apt 508 Austin TX 78701-4391 |
| Practice Telephone | 5122290401 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 33234 | TX | Dental Providers |
| Street Address |
5405 S PLEASANT VALLEY RD STE 108 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78744-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700306420 | Karan Shah | Dentist | 5405 S Pleasant Valley Rd Ste 108, Austin, TX 78744-3828 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1285245753 | Michelle Susan Kuczkowski | Nurse Practitioner | 6230 E. Stassney Lane, Austin, TX 78744 | 2020-08-10 |
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1124664933 | Andre Nettie Gardiner-martinez | Social Worker | 7701 Metropolis Drive, Bldg 13, Suite 100, Austin, TX 78744 | 2019-11-27 |
| 1699259192 | Kedra S Priest | Counselor | 5015 Sih 35, Austin, TX 78744 | 2018-09-20 |
| 1720568512 | Melissa Jonfe-quinto | Speech-Language Pathologist | 8300 Bluff Springs Road, Apt 616, Austin, TX 78744 | 2018-08-21 |
| 1255821195 | Samantha Padilla | Nurse Practitioner | 7701 Metropolis Dr., Austin, TN 78744 | 2018-05-16 |
| 1275050544 | Ann-marie Keller | Student in an Organized Health Care Education/Training Program | 7900 Ardmore Circle, Austin, TX 78744 | 2017-08-27 |
| 1477944171 | Lindsay Box | Counselor | 5015 S Ih-35 Frontage Rd, #200, Austin, TX 78744 | 2015-02-17 |
| 1487050308 | William Alexander Terry | Social Worker | 5015 S Ih 35 Frontage Rd #200, Austin, TX 78744 | 2014-11-05 |
| Find all providers in zip 78744 | ||||
| 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 |
|---|---|---|---|---|
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1003462045 | Ac Dentistry Pllc | Dentist | 13616 N Highway 183, Austin, TX 78750-2311 | 2019-08-15 |
| 1619520087 | Iana Elledge | Dentist | 4801 Amarra Dr, Austin, TX 78735-1845 | 2019-07-24 |
| 1861044265 | John Dinh Le | Dentist | 801 E William Cannon Dr Ste 201, Austin, TX 78745-6671 | 2019-07-15 |
| 1669030979 | Angela Patricia Velasquez | Dentist | 6601 Rialto Blvd Apt 6213, Austin, TX 78735-0063 | 2019-06-01 |
| 1093281289 | Brush32 Dental of South Congress Pllc | Dentist | 8900 S Congress Ave, Ste 400, Austin, TX 78745-7393 | 2018-10-16 |
| 1295216752 | Chia-chen Tsai | Dentist | 1500 W William Cannon Dr Apt 239, Austin, TX 78745-3767 | 2018-08-23 |
| 1194205427 | Mairna Qandla | Dentist | 10500 Avery Club Dr Unit 2, Austin, TX 78717-3937 | 2018-08-16 |
| 1487131470 | Brijita Parekh | Dentist | 6302 Libyan Dr, Austin, TX 78745-4971 | 2018-07-23 |
| Find all providers in AUSTIN | ||||
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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.