ENDO CARE (NPI# 1013308170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013308170 |
| Entity Type | Organization |
| Organization Name | ENDO CARE |
| Practice Address |
485 34th St Suite 200 Oakland CA 94609-2823 |
| Practice Telephone | 5105477668 |
| Practice Fax Number | 5105477665 |
| Mailing Telephone | 5105477668 |
| Mailing Fax Number | 5105477665 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | DR. ALI REZAI (OWNER PRESIDENT) |
| Authorized Official Telephone | 5105477668 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5035 | CA | Dental Providers |
| Street Address |
485 34TH ST SUITE 200 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468656 | Ali Allen Rezai | Dentist | 485 34th St, Suite 200, Oakland, CA 94609-2823 | 2005-12-21 |
| 1083832513 | Cynthia L. Cox | Dentist | 485 34th St, Ste.#210, Oakland, CA 94609-2823 | 2007-04-22 |
| 1215080874 | Babak - Ghassemi | Dentist | 485 34th St, Suite 100, Oakland, CA 94609-2823 | 2007-01-18 |
| 1073610150 | Thomas Peter Zavattero | Dentist | 485 34th St, Suite 210, Oakland, CA 94609-2823 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265648679 | Barry Lai Fong | Dentist | 447 29th St Ste 109, Oakland, CA 94609-3597 | 2007-05-15 |
| 1902947682 | Steven R. Hansen | Dentist | 1700 Broadway, 10th Fl., Oakland, CA 94612-2116 | 2007-02-08 |
| 1386726743 | Alexander Thomas Kim | Dentist | 485 34th St Ste 200, Oakland, CA 94609-2823 | 2006-10-19 |
| 1609961226 | Unes Nabipour | Dentist | 2930 Summit St., Oakland, CA 94609 | 2006-10-03 |
| 1881706836 | Arthur S Panella | Dentist | 2930 Summit St, Oakland, CA 94609-3405 | 2006-08-31 |
| 1285642355 | Phuong N Quang | Dentist | 2844 Summit Street, Suite 209, Bay Endodontics, Oakland, CA 94609 | 2006-08-04 |
| 1760468656 | Ali Allen Rezai | Dentist | 485 34th St, Suite 200, Oakland, CA 94609-2823 | 2005-12-21 |
| 1225409469 | Brent C. Lin, Dds Inc | Dentist | 3040 E 9th St, Suite D, Oakland, CA 94601-2938 | 2015-10-14 |
| 1902067747 | Midori Betty Tachibana | Dentist | 1624 Franklin St, Suite 1220, Oakland, CA 94612-2897 | 2008-06-24 |
| 1023293982 | Franco Alexander Tarm | Dentist | 1700 Broadway, 10th Floor, Oakland, CA 94612-2116 | 2008-01-09 |
| Find all providers in OAKLAND | ||||
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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.