KISHORE THAMMINENI DENTAL ASSOCIATES DDS PC (NPI# 1972996114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972996114 |
| Entity Type | Organization |
| Organization Name | KISHORE THAMMINENI DENTAL ASSOCIATES DDS PC |
| Practice Address |
20876 Isherwood Ter Apt 101 Ashburn VA 20147-7788 |
| Mailing Address |
1330 Amherst St Ste B Winchester VA 22601-3000 |
| Practice Telephone | 3059423458 |
| Practice Fax Number | 5407733284 |
| Mailing Telephone | 3059423458 |
| Mailing Fax Number | 5407733284 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | DR. KISHORE BABU THAMMINENI (OWNER) |
| Authorized Official Telephone | 3059423458 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401414079 | VA | Dental Providers |
| Street Address |
20876 ISHERWOOD TER APT 101 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-7788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942721618 | Khanh Vy Nguyen | Dentist | 42395 Ryan Rd Ste 104, Ashburn, VA 20148-4864 | 2017-07-03 |
| 1770939571 | Jared Reardon | Dentist | 20745 Williamsport Pl Ste 120, Ashburn, VA 20147 | 2016-05-11 |
| 1861853798 | Tetyana Mccain | Dentist | 42976 Nashua St, Ashburn, VA 20147 | 2016-03-20 |
| 1326326182 | Patricia A Navar | Dentist | 43930 Farmwell Hunt Plz Ste 136, Ashburn, VA 20147-5828 | 2011-07-28 |
| 1861630550 | Ann N. Hebda, Dds. PC | Dentist | 20600 Gordon Park Square, Suite 190, Ashburn, VA 20147 | 2009-02-03 |
| 1437308590 | Ruth Kathleen Duchatellier-cange | Dentist | 22621 Amendola Ter, Suite 110, Ashburn, VA 20148-7528 | 2008-09-13 |
| 1528230521 | Preethi Sundaram | Dentist | 43490 Yukon Drive Suite114, Ashburn, VA 20147 | 2008-03-31 |
| 1356527493 | Zoltan Rusznak | Dentist | 20925 Professional Plz Ste 330, Ashburn, VA 20147-3403 | 2008-01-19 |
| 1073715314 | Roxanne Azmoudeh | Dentist | 44355 Premier Plz Ste 100, Ashburn, VA 20147-5050 | 2007-05-31 |
| 1326250911 | Mitchell Baron | Dentist | 43170southernwalkplaza, Suite104, Ashburn, VA 20148 | 2007-05-04 |
| Find all providers in ASHBURN | ||||
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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.