SUSHMA MANGALAVARAPET KANTHARAJU (NPI# 1982155834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982155834 |
| Entity Type | Individual |
| Full Name | SUSHMA MANGALAVARAPET KANTHARAJU |
| Credential | D.D.S |
| Practice Address |
4053 E Morada Ln Stockton CA 95212-1608 |
| Practice Telephone | 2094786000 |
| Mailing Telephone | 2094786000 |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2016-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS100731 | CA | Dental Providers |
| Street Address |
4053 E MORADA LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669861431 | Rajkamal Sohi | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2015-01-17 |
| 1528423431 | Cheema Dental Corp | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| 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 |
|---|---|---|---|---|
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1801363825 | Western Dental Services, Inc. | Dentist | 616 W Hammer Ln Ste B, Stockton, CA 95210-3749 | 2018-10-29 |
| 1336635101 | Western Dental Services, Inc. | Dentist | 5756 Pacific Ave Ste 75, Stockton, CA 95207-5156 | 2018-07-05 |
| 1518469550 | Uriel Badillo Centeno | Dentist | 1035 W Robinhood Dr Ste 200, Stockton, CA 95207-5621 | 2018-03-06 |
| 1063940856 | James Rore Dds Inc | Dentist | 4255 Pacific Ave Ste 12, Stockton, CA 95207-7638 | 2017-05-24 |
| 1821547571 | John T. Reed, Dds, Inc. | Dentist | 333 San Carlos Way Ste A, Stockton, CA 95207-2037 | 2016-09-22 |
| 1285180232 | Sky Orion Martin | Dentist | 1310 E Swain Rd Ste 2, Stockton, CA 95210-3308 | 2016-08-30 |
| 1245683861 | Diana Furukawa | Dentist | 5345 N El Dorado St Ste 2, Stockton, CA 95207-5848 | 2016-07-19 |
| 1669861431 | Rajkamal Sohi | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2015-01-17 |
| Find all providers in STOCKTON | ||||
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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.