PRIVATE PRACTICE (NPI# 1881101483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881101483 |
| Entity Type | Organization |
| Organization Name | PRIVATE PRACTICE |
| Practice Address |
18522 Canoe Brk San Antonio TX 78258-1641 |
| Practice Telephone | 9012467560 |
| Mailing Telephone | 9012467560 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | DR. NADA B KORDAB (DENTIST) |
| Authorized Official Telephone | 9012467560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Health Network Children's clinic | Doing Business As Name - Organization |
| League City Women and Children's Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093122954 | Private Practice | In Home Supportive Care | 202 Fishpot Rd, Fredericktown, PA 15333-2203 | 2014-07-11 |
| 1457796385 | Private Practice | Clinic/Center | 76 E 89th Pl, Chicago, IL 60619-6607 | 2013-05-06 |
| 1811374309 | Private Practice | Clinic/Center | 30 N Michigan Ave, Suite 1002, Chicago, IL 60602-3402 | 2015-05-04 |
| 1831504703 | Private Practice | Social Worker | 125 Central St, Concord, MA 01742-2910 | 2014-06-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Private Practice Builders LLC | 2231 Aryness Drive, Vienna, Virginia 22181 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE CLIENTS | 15870 Sw Baler Way, Sherwood, OR 97140 |
| System for Award Management (SAM) Entities | PRIVATE PRACTICE OF PSYCHOLOGY, THE | 1950 Farnworth Ln #302, Northbrook, IL 60062-3770 |
| Colorado Business Entities | Private Practice of Stephen H Chou, Psy.D. | 1120 W South Boulder Rd., Suite 101e, Lafayette, CO 80026 |
| Ohio Business Entities | PRIVATE PRACTICE PARTNER, LLC | P.o. Box 827, Worthington, OH 43085-0827 |
| New York State Corporations | PRIVATE PRACTICE PROMOTION L.L.C. | 1434 Western Ave Ste 1, Albany, Ny 12203 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE PUSH | 15220 Nw Laidlaw Rd, Suite 280, Portland, OR 97229 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE REALTY, LLC | 4300 Sw Fairview Circus, Portland, OR 97221 |
| New York State Corporations | PRIVATE PRACTICE STUDIO LLC | 2 Prince St., Unit #3008, Brooklyn, Ny 11201 |
| Oregon Corporations, Companies and Business Names | PRIVATE PRACTICE TRANSITIONS, INC. | 2615 Jahn Ave Nw Ste E5, Gig Harbor, WA 98335 |
| Street Address |
18522 CANOE BRK |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053322438 | Nada Ballout Kordab | Dentist | 18522 Canoe Brk, San Antonio, TX 78258-1641 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1528613510 | El Centro Del Barrio, Inc. | Clinic/Center | 730 N Main Ave Ste 224, San Antonio, TX 78205-1195 | 2019-08-06 |
| 1164980538 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 21195 W Interstate 10 Ste 2101, San Antonio, TX 78257-1675 | 2019-03-05 |
| 1104353366 | Barrio Comprehensive Family Health Care Center, Inc | Clinic/Center | 2614 W Commerce St, San Antonio, TX 78207-3765 | 2017-05-18 |
| 1275907727 | El Centro Del Barrio, Inc | Clinic/Center | 5750 Medina Base Rd, San Antonio, TX 78242-1708 | 2015-11-20 |
| 1124313804 | El Centro Del Barrio, Inc | Clinic/Center | 3127 Se Military Dr, Suite 101, San Antonio, TX 78223-3990 | 2011-06-10 |
| 1427357458 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 8210 Callaghan Road, San Antonio, TX 78230 | 2011-03-16 |
| 1982834289 | El Centro Del Barrio | Clinic/Center | 630 S General Mcmullen, San Antonio, TX 78237-2005 | 2009-07-21 |
| 1841433562 | El Centro Del Barrio, Inc | Clinic/Center | 1 Haven for Hope Way Bldg1 #300, San Antonio, TX 78207-1108 | 2009-04-10 |
| 1477628394 | El Centro Del Barrio, Inc. | Clinic/Center | 307 Dwyer Ave, San Antonio, TX 78204-1101 | 2006-11-24 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on PRIVATE PRACTICE.
| 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.