DR. KENNETH ELIASON (NPI# 1770025629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770025629 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ELIASON |
| Credential | D.D.S. |
| Practice Address |
6714 Patterson Ave Ste 203 Richmond VA 23226-3432 |
| Mailing Address |
6714 Patterson Ave Suite 203 Richmond VA 23226-5806 |
| Practice Telephone | 8042824476 |
| Mailing Telephone | 8042824476 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2017-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401415326 | VA | Dental Providers |
| Street Address |
6714 PATTERSON AVE STE 203 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| 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 |
|---|---|---|---|---|
| 1528675717 | South Texas Sleep Medicine LLC | Dentist | 8710 Grand Mission Blvd Ste A, Richmond, TX 77407-5413 | 2020-09-30 |
| 1780159764 | Krysten Marie Herrero | Dentist | 1821 Mactavish Ave Apt 2319, Richmond, VA 23230-4336 | 2018-10-05 |
| 1083189179 | Saurabh Mankotia | Dentist | 5614 W Grand Pkwy S Ste 120, Richmond, TX 77406-5820 | 2018-10-04 |
| 1952887762 | Joseph Eugene Bartholomew IIi | Dentist | 521 N. 11th Street, Vcu School of Dentistry Aegd Clinic, Richmond, VA 23298 | 2018-07-15 |
| 1437635331 | Shannon Andrews Kittrell | Dentist | 8804 Patterson Ave Ste 100, Richmond, VA 23229-6361 | 2018-07-13 |
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265927065 | Hina Asghar | Dentist | 7 N 8th St Apt 1102, Richmond, VA 23219-3329 | 2018-06-25 |
| 1467946269 | Ideal Dental of Aliana Pllc | Dentist | 4818 Waterview Town Center, Suite 100, Richmond, TX 77406-1438 | 2018-06-15 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
| Find all providers in RICHMOND | ||||
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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.