DR. POONGKODI KANNAN B.D.S., D.D.S.
NPI 1528164563
Dentist - Dental Public Health in Cave Junction, OR

NPI Status: Active since September 16, 2006

Contact Information

25647 REDWOOD HWY
CAVE JUNCTION, OR
ZIP 97523
Phone: (541) 592-4111

Get Directions Reviews

  • Individual
  • Female
  • Dentist
  • Dental Public Health
  • Accepts Insurance

About POONGKODI KANNAN

This page provides the complete NPI Profile along with additional information for Poongkodi Kannan, a provider established in Cave Junction, Oregon with a medical specialization in Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1528164563 assigned on September 2006. The practitioner's primary taxonomy code is 1223D0001X with license number D9043 (OR). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1528164563
Provider Name
DR. POONGKODI KANNAN B.D.S., D.D.S.
Other Name
DR. KODI KANNAN B.D.S., D.D.S.
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
25647 REDWOOD HWY CAVE JUNCTION, OR 97523
Location Phone
(541) 592-4111
Mailing Address
1701 NW HAWTHORNE AVE GRANTS PASS, OR 97526
Mailing Phone
(541) 479-6393
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
09-16-2006
Last Update Date
10-06-2021
Code Navigator

A dentist like Poongkodi Kannan is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Dental Public Health

Taxonomy Code
1223D0001X
Type
Dental Providers
License No.
D9043
License State
OR
Taxonomy Description
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

D9043 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • Alabama Preferred Plan - PPO
  • Alabama Preferred Plan (Pediatric Only) - PPO
  • Alabama Preferred Plus Plan - PPO
  • Alabama Preferred Plus Plan (Pediatric Only) - PPO
  • Alabama Wellness Essentials Plan - PPO
  • Florida Preferred Plan - PPO
  • Florida Preferred Plan (Pediatric Only) - PPO
  • Florida Preferred Plus Plan - PPO
  • Florida Preferred Plus Plan (Pediatric Only) - PPO
  • Florida Wellness Essentials Plan - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7806250MEDICAID (05)SD 

Reviews for DR. POONGKODI KANNAN B.D.S., D.D.S.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528164563
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548268512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 6 + 8 + 5 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1528164563 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558360180DR. JUNE B WORTHINGTON DO
Individual
Family Medicine25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-6444
1801891767DR. ELBERT CAMPBELL COLLINS M.D.
Individual
Obstetrics & Gynecology25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1972506202 SUSAN E. BERG A.R.N.P.
Individual
Clinical Nurse Specialist25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1356472161MR. MICHAEL GEORGE PRUNER ARNP
Individual
Nurse Practitioner (Adult Health)25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1396141255SISKIYOU COMMUNITY HEALTH CENTER PHARMACY
Organization
Pharmacy (Clinic Pharmacy)25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1427404094SISKIYOU COMMUNITY HEALTH CENTER PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1073650552DR. SNEHA INNES D.D.S.
Individual
Dentist25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 471-4111
1346653102 AMY LEIGH WILLS FNP
Individual
Nurse Practitioner25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1306409305 BENJAMIN WHITE ALLISON MD
Individual
Family Medicine25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1407594930 SAMANTHA MARZORATI PA-C
Individual
Physician Assistant25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1700473139 TERRA LYNN ANDERSON RDH
Individual
Dental Hygienist25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1588151567 LISA ANN EDWARDS PPCNP-BC
Individual
Nurse Practitioner (Pediatrics)25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 500-8407
1376236265 SAMANTHA GAFFNEY DMD
Individual
Dentist (General Practice)25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1225191018DR. PETER STEVEN TOMMERUP D.D.S.
Individual
Dentist25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1326586181 TIFFANY M CRANE NP
Individual
Nurse Practitioner25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111
1578815783MRS. MARY LOU ALONSO NP1578815783
Individual
Nurse Practitioner (Adult Health)25647 REDWOOD HWY
CAVE JUNCTION, OR 97523
(541) 592-4111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528164563, enumerated in the NPI registry as an "individual" on September 16, 2006

The provider is located at 25647 Redwood Hwy Cave Junction, Or 97523 and the phone number is (541) 592-4111

The provider's speciality is Dentist with taxonomy code 1223D0001X with a focus in Dental Public Health

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.