KROTHAPALLI DENTAL GROUP GAHANNA LLC (NPI# 1659888501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659888501 |
| Entity Type | Organization |
| Organization Name | KROTHAPALLI DENTAL GROUP GAHANNA LLC |
| Practice Address |
156 Granville St Gahanna OH 43230-6505 |
| Mailing Address |
135 Hoff Rd Ste B Westerville OH 43082-7184 |
| Practice Telephone | 6144752616 |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2018-01-01 |
| Authorized Official Name | DR. NANARAO KROTHAPALLI (DENTIST) |
| Authorized Official Telephone | 6172231652 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
156 GRANVILLE ST |
| City | GAHANNA |
| State | OH |
| Zip Code | 43230-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942246384 | Smr Banyan Tree, Inc. | Clinic/Center | 156 Granville St, Gahanna, OH 43230-6505 | 2006-06-22 |
| 1407370851 | Kathryn Dragt | Physical Therapist | 156 Granville St, Gahanna, OH 43230-6505 | 2017-07-27 |
| 1801264684 | Marla Moberly | Physical Therapy Assistant | 156 Granville St, Gahanna, OH 43230-6505 | 2015-09-09 |
| 1144644428 | Mary Monroe | Physical Therapist | 156 Granville St, Suite B, Gahanna, OH 43230-6505 | 2014-02-07 |
| 1104247816 | Jeri Ann Bentley | Physical Therapy Assistant | 156 Granville St, Gahanna, OH 43230-6505 | 2013-12-23 |
| 1619224862 | Mike Saiia | Physical Therapy Assistant | 156 Granville St, Gahanna, OH 43230-6505 | 2012-08-07 |
| 1588798532 | Carrie Elizabeth Gladwell | Specialist/Technologist | 156 Granville St, Gahanna, OH 43230-6505 | 2007-03-14 |
| 1255469375 | Brian Alan Richardson | Physical Therapist | 156 Granville St, Gahanna, OH 43230-6505 | 2007-03-01 |
| 1538259205 | Alan E Moore | Dentist | 156 Granville St, Gahanna, OH 43230-6505 | 2006-10-13 |
| 1174621049 | Rachael Werstak | Physical Therapist | 156 Granville St, Gahanna, OH 43230-6505 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
| 1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
| 1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
| 1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
| 1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
| 1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
| 1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
| 1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
| Find all providers in zip 43230 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770114159 | Brooke H. Buller, Dds, LLC | Clinic/Center | 255 Lincoln Cir Ste B, Gahanna, OH 43230-3514 | 2020-02-04 |
| 1215229703 | Mark Levy Dds Inc | Clinic/Center | 925 N Hamilton Rd, Suite 200, Gahanna, OH 43230-8708 | 2011-05-03 |
| 1124150354 | John J. Patock, Dds, Inc | Clinic/Center | 1163 N Hamilton Rd, Gahanna, OH 43230-3452 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
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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.