DR. CORNELIUS JEROME GEHRED (NPI# 1033259734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033259734 |
| Entity Type | Individual |
| Full Name | DR. CORNELIUS JEROME GEHRED |
| Credential | DDS |
| Practice Address |
2010 Botulph Rd Santa Fe NM 87505 |
| Mailing Address |
10340 Se Division St Ste 3 Portland OR 97266-1269 |
| Practice Telephone | 5059831312 |
| Practice Fax Number | 5059838170 |
| Mailing Telephone | 5032563199 |
| Mailing Fax Number | 5032569383 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9242 | OR | Dental Providers |
| Street Address |
2010 BOTULPH RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610002 | Stephen Walter Gibbs | Dentist | 2010 Botulph Rd, Santa Fe, NM 87505 | 2006-04-22 |
| 1245605740 | Melina Martinez Dmd LLC | Dentist | 2010 Botulph Rd, Santa Fe, NM 87505-5730 | 2015-12-09 |
| 1841311180 | Steve Gibbs Dds PC | Dentist | 2010 Botulph Rd, Santa Fe, NM 87505-5730 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| 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 |
|---|---|---|---|---|
| 1649802604 | Manpreet Kaur Randhawa | Dentist | 4111 Fm 1764 Rd Ste E, Santa Fe, TX 77517-3854 | 2020-02-07 |
| 1285264242 | Professional Dental Care Pllc | Dentist | 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 | 2020-01-18 |
| 1912492406 | Aurora Dental Nm LLC | Dentist | 3875 Cerrillos Rd, Santa Fe, NM 87507-4145 | 2018-06-27 |
| 1861910283 | Alliance Oral Health Care, P.C. | Dentist | 130 Siringo Rd Ste 201, Santa Fe, NM 87505-5864 | 2017-09-06 |
| 1104278837 | Varun Yadav | Dentist | 1406 Luisa St Ste 1, Santa Fe, NM 87505-4161 | 2016-07-06 |
| 1982062048 | Santa Fe Dentist Office, LLC | Dentist | 5131 Main Street, 101, Santa Fe, NM 87507 | 2016-02-04 |
| 1730424904 | Elizabeth M. Wilson Dmd LLC | Dentist | 217 E Marcy St, Santa Fe, NM 87501-2020 | 2012-11-29 |
| 1689950008 | Santa Fe Modern Dentistry and Orthodontics, LLC | Dentist | 3569 Zafarano Boulevard, Santa Fe, NM 87507 | 2011-10-31 |
| 1437440286 | Katarzyna Ujda | Dentist | 2019 Galisteo St Ste L2, Santa Fe, NM 87505-2112 | 2011-04-27 |
| 1962718213 | Laura Comeau Dds PC | Dentist | 2100 Calle De La Vuelta Unit E105, Santa Fe, NM 87505-4819 | 2010-08-25 |
| Find all providers in SANTA FE | ||||
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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.