MEENARIN PANITTAVEEKUL (NPI# 1922647114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922647114 |
| Entity Type | Individual |
| Full Name | MEENARIN PANITTAVEEKUL |
| Credential | DDS,MSD |
| Practice Address |
1121 W Michigan St Indianapolis IN 46202-5211 |
| Mailing Address |
2183 Seasons South Dr Unit 205 Indianapolis IN 46280-1654 |
| Practice Telephone | 3175567559 |
| Mailing Telephone | 3175567559 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
98001038A | IN | Dental Providers |
| Street Address |
1121 W MICHIGAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055951 | Norman Blaine Cook | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2005-09-30 |
| 1780293480 | Brian Jeffrey Hoagburg | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2020-07-28 |
| 1780167999 | Laila Al Dehailan | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2018-09-13 |
| 1497235238 | Chao-chieh Yang | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2018-08-21 |
| 1265925663 | Elana Laks | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2018-06-11 |
| 1720529019 | Waldemar Polido | Dentist | 1121 W Michigan St, Ds307b, Indianapolis, IN 46202-5211 | 2017-03-20 |
| 1083154041 | Ahmed Ghoneima | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2017-02-24 |
| 1447705108 | Anderson T Hara | Dentist | 1121 W Michigan St, Ds307b, Indianapolis, IN 46202-5211 | 2016-08-23 |
| 1003269614 | Jeong Hwa Hong | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2016-07-19 |
| 1396107397 | Priscilla Clinton Adams | Dentist | 1121 W Michigan St, Indianapolis, IN 46202 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068502 | Karina Pezo Shirley | Dentist | 2001 W Washington St Ste B2, Indianapolis, IN 46222-4549 | 2019-05-18 |
| 1275039497 | Julianne Manzo Sotomil | Dentist | 1121 W Michigan St # S312, Indianapolis, IN 46202-5211 | 2018-04-05 |
| 1447638648 | Kamolphob Phasuk | Dentist | 1121 W Michigan St Rm 313, Indianapolis, IN 46202-5521 | 2015-05-08 |
| 1770994238 | Ankit Patel | Dentist | 5770 Noble Dr, Indianapolis, IN 46234-7725 | 2014-05-17 |
| 1053415414 | Fildent Inc | Dentist | 6202 Broadway St, Indianapolis, IN 46220 | 2006-09-07 |
| 1396718185 | Alpha Denture Center, Inc. | Dentist | 6845 Parkdale Pl, Suite A, Indianapolis, IN 46254-5618 | 2006-02-10 |
| 1497235238 | Chao-chieh Yang | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2018-08-21 |
| 1265925663 | Elana Laks | Dentist | 1121 W Michigan St, Indianapolis, IN 46202-5211 | 2018-06-11 |
| 1780965061 | Indianapolis Dental Center LLC | Dentist | 8445 S Emerson Ave, Suite 101, Indianapolis, IN 46237-9596 | 2011-08-31 |
| 1407168636 | Wei-shao Lin | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2010-07-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.