DR. EDIE J CORDOVA (NPI# 1609065309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609065309 |
| Entity Type | Individual |
| Full Name | DR. EDIE J CORDOVA |
| Credential | DDS |
| Practice Address |
900 W Mission Ave Bellevue NE 68005-3945 |
| Practice Telephone | 4022915842 |
| Practice Fax Number | 4022911621 |
| Mailing Telephone | 4022915842 |
| Mailing Fax Number | 4022911621 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6650 | NE | Dental Providers |
| Street Address |
900 W MISSION AVE |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629197579 | Maria Tanchuling Nosworthy | Dentist | 900 W Mission Ave, Bellevue, NE 68005-3945 | 2007-03-29 |
| 1619264926 | Towne Dental | Dentist | 900 W Mission Ave, Bellevue, NE 68005-3945 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| Find all providers in zip 68005 | ||||
| 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 |
|---|---|---|---|---|
| 1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
| 1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
| 1821609710 | Chaeli Ford | Dentist | 3672 Lexington Ave, Bellevue, NE 68123-1321 | 2020-08-13 |
| 1154949097 | Karanjot Singh Bath | Dentist | 15938 Ne 15th St, Bellevue, WA 98008-2707 | 2020-07-08 |
| 1457902595 | Washington Dental Corporation, PC | Dentist | 2235 148th Ave Ne, Bellevue, WA 98007-3726 | 2019-09-20 |
| 1053892406 | Frank Charles Hokhold | Dentist | 123 112th Ave Ne Apt 442, Bellevue, WA 98004-6497 | 2018-08-23 |
| 1902312168 | Priyanka Sharma | Dentist | 10500 Ne 8th St Ste 208, Bellevue, WA 98004-4351 | 2017-12-22 |
| 1235644899 | Kwang Jin Hahn | Dentist | 14215 Se 44th St, Bellevue, WA 98006-2335 | 2017-12-05 |
| 1710402235 | Jun Eon Weaver | Dentist | 700 140th Ave Se, Bellevue, WA 98005-3726 | 2017-08-04 |
| 1801324389 | Kelsey M Sasse | Dentist | 3615 Summit Plaza Dr Ste 101, Bellevue, NE 68123-1088 | 2017-05-30 |
| Find all providers in BELLEVUE | ||||
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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.