DR. CHAITANYA PRAKASH PURANIK (NPI# 1891109765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891109765 |
| Entity Type | Individual |
| Full Name | DR. CHAITANYA PRAKASH PURANIK |
| Credential | BDS, MS, MDS, PHD. |
| Practice Address |
13123 E 16th Ave Stop B240 Aurora CO 80045 |
| Mailing Address |
13123 E 16th Ave # B240 Aurora CO 80045-7106 |
| Practice Telephone | 7207772719 |
| Practice Fax Number | 7207777354 |
| Mailing Telephone | 7207776788 |
| Mailing Fax Number | 7207777354 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401416088 | VA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
33860 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
AD.0000519 | CO | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000165418 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 282 Washington St, University of Connecticut, Hartford, CT 061063322 | 8605459030 |
| Street Address |
13123 E 16TH AVE STOP B240 |
| City | AURORA |
| State | CO |
| Zip Code | 80045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275781791 | Kristin M Christiansen | Dentist | 25521 E Smoky Hill Rd Unit 210, Aurora, CO 80016-1346 | 2008-09-09 |
| 1376702787 | Ticket To Smiles PC | Dentist | 12373 E Cornell Ave # 16, Aurora, CO 80014-3323 | 2008-06-02 |
| 1043375629 | Joanna M. Douglass | Dentist | 13123 E 16th Ave # B-240, Aurora, CO 80045-7106 | 2006-12-26 |
| 1891857009 | Renee Balthazar | Dentist | 243 E Indian Trail, Aurora, IL 60505 | 2006-12-14 |
| 1528168713 | Karen Diane Foster | Dentist | 22986 E Smoky Hill Rd, Aurora, CO 80016-1382 | 2006-09-25 |
| 1801906672 | Jennifer Bryk Hechko | Dentist | 85 N Chillicothe Rd, Aurora, OH 44202-8739 | 2006-08-30 |
| 1922113794 | Roopa P Gandhi | Dentist | 13123 E 16th Ave # B240, Aurora, CO 80045-7106 | 2006-08-20 |
| 1639122997 | Ricardo Gonzalez | Dentist | 1780 N Farnsworth Ave, Aurora, IL 60505-1576 | 2006-05-18 |
| 1407831647 | Erin Lee Watts Carpenter | Dentist | 25521 East Smoky Hill Rd., Suite 210, Aurora, CO 80016 | 2005-12-09 |
| 1053319269 | Lucinda Ann Lewis | Dentist | 390 S Potomac Way, Aurora, CO 80012-2491 | 2005-07-12 |
| Find all providers in AURORA | ||||
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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.