DR. RANDALL GAYNOR RODMAN (NPI# 1033552997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033552997 |
Entity Type | Individual |
Full Name | DR. RANDALL GAYNOR RODMAN |
Credential | DDS |
Practice Address |
200 South 13th Street No 109 Grover Beach CA 93433 |
Practice Telephone | 8054874353 |
Practice Fax Number | 8054874353 |
Mailing Telephone | 8054874353 |
Mailing Fax Number | 8054874353 |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | CALIFDDS25619 | CA | Dental Providers |
Street Address |
200 SOUTH 13TH STREET NO 109 |
City | GROVER BEACH |
State | CA |
Zip Code | 93433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306382783 | Melissa Ann Richardson | Registered Nurse | 286 S. 16th Street, Grover Beach, CA 93433 | 2017-01-10 |
1447637475 | Katherine Clair Verwest | Counselor | 1428 Brighton Ave., Grover Beach, CA 93433 | 2015-04-28 |
1154685352 | Allyson N Thompson-knox | Marriage & Family Therapist | 1125 West Grand Avenue, Suite D, Grover Beach, CA 93433 | 2012-07-02 |
1851546436 | Jay Alan Turner | Counselor | 1206 Capitola Street, Grover Beach, CA 93433 | 2008-11-24 |
1407043862 | Ginette Gallagher II | Public Health or Welfare | 286 So. 16th St, San Luis Obispo County Health Department, Grover Beach, CA 93433 | 2007-10-01 |
1700099090 | Cynthia Kae Nelson | Counselor | 767 Ramona Ave, Grover Beach, CA 93433 | 2007-05-07 |
1861614158 | Steven Hideki Yoneda | Specialist/Technologist | 1660 Manhattan Avenue, Grover Beach, CA 93433 | 2007-05-03 |
1265557136 | Jenna Eyton Wolfson | Social Worker | 901 Ramona Ave # I, Grover Beach, CA 93433 | 2007-03-20 |
1922169655 | Donna Maurine Van Pelt | Marriage & Family Therapist | 150b S 6th St, Grover Beach, CA 93433 | 2006-12-13 |
1386719094 | Connie L. (linda) Rodgers | Marriage & Family Therapist | 1149 Saratoga Avenue, Grover Beach, CA 93433 | 2006-11-21 |
Find all providers in zip 93433 |
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 |
---|---|---|---|---|
1821318577 | Jerry Yu | Dentist | 1461 W Grand Ave, Grover Beach, CA 93433-2287 | 2010-06-04 |
1205395639 | Cheng Hsu Huang | Dentist | 1461 W Grand Ave, Grover Beach, CA 93433-2287 | 2019-03-15 |
1154709442 | Kwang Lee D.d.s. Inc. | Dentist | 1558 W Grand Ave, Grover Beach, CA 93433-2236 | 2015-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
Find all providers with the same taxonomy |
City | GROVER BEACH |
Zip Code | 93433 |
Please comment or provide details below to improve the information on DR. RANDALL GAYNOR RODMAN.
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.