DIVYA MUDUMBA (NPI# 1518579499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518579499 |
| Entity Type | Individual |
| Full Name | DIVYA MUDUMBA |
| Practice Address |
342 Winchester St Keene NH 03431-3936 |
| Mailing Address |
8710 Grand Ave Apt 2d Elmhurst NY 11373-4445 |
| Practice Telephone | 6033520502 |
| Mailing Telephone | 9175352935 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 04592 | NH | Dental Providers |
| Street Address |
342 WINCHESTER ST |
| City | KEENE |
| State | NH |
| Zip Code | 03431-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548524671 | Ashley Rose Leavell | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2012-07-03 |
| 1124637301 | Mia Balsom | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2020-07-23 |
| 1023679339 | Clare Ma | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2019-06-26 |
| 1346732146 | Alexander Fleming Mitchell | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2018-06-06 |
| 1609325992 | Jebediah S Christy Dds - Keene PC | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2016-09-27 |
| 1013388024 | Valitsinee Pattanaprommas | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| 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 |
|---|---|---|---|---|
| 1457885287 | Keene Smiles PC | Dentist | 69 Island St, Unit G, Keene, NH 03431-3507 | 2017-04-18 |
| 1699181479 | Akbar Saleem | Dentist | 123 Meadow Rd, Apt 19, Keene, NH 03431-3967 | 2014-07-01 |
| 1306132840 | Megan Belken | Dentist | 428 S Old Betsy Rd, Suite C, Keene, TX 76059-1411 | 2011-06-23 |
| 1821161613 | Stephen Frederick Hoffman | Dentist | 69 U Island St, Keene, NH 03431 | 2006-11-17 |
| 1770664567 | Brady Dee Rusk | Dentist | 104 S Old Betsy Rd, Keene, TX 76059 | 2006-10-18 |
| 1376656876 | Michael Allan Guberman | Dentist | 69 Island St # G, Keene, NH 03431-3529 | 2006-08-17 |
| 1215958616 | John C. Boccalini | Dentist | 50 Monadnock Hwy, Keene, NH 03431-4570 | 2006-07-21 |
| 1124637301 | Mia Balsom | Dentist | 342 Winchester St, Keene, NH 03431-3936 | 2020-07-23 |
| 1952925026 | Miguel Angel Velez IIi | Dentist | 650 Court St Ste 4, Keene, NH 03431-1759 | 2020-06-03 |
| 1700370368 | Annie Le | Dentist | 391 West Street, Keene, NH 03431 | 2018-06-18 |
| Find all providers in KEENE | ||||
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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.