DR. KENNETH BRIAN FROSTAD (NPI# 1043435076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043435076 |
| Entity Type | Individual |
| Full Name | DR. KENNETH BRIAN FROSTAD |
| Credential | D.D.S. |
| Practice Address |
7916 Pebble Beach Dr Suite 104 Citrus Heights CA 95610-7790 |
| Practice Telephone | 9169620545 |
| Practice Fax Number | 9169620927 |
| Mailing Telephone | 9169620545 |
| Mailing Fax Number | 9169620927 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22882 | CA | Dental Providers |
| Street Address |
7916 PEBBLE BEACH DR SUITE 104 |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610-7790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578555629 | Cynthia L Weideman | Dentist | 7916 Pebble Beach Dr, Suite 101, Citrus Heights, CA 95610-7790 | 2005-08-16 |
| 1346589405 | Holley Gonder Malchow | Dentist | 7916 Pebble Beach Dr, Suite 101, Citrus Heights, CA 95610-7790 | 2013-02-11 |
| 1962631762 | Michael Scott Atherly | Dentist | 7916 Pebble Beach Dr, Suite 206, Citrus Heights, CA 95610-7790 | 2009-07-14 |
| 1174777650 | Thomas Michael Clements | Dentist | 7916 Pebble Beach Dr, Ste. 101, Citrus Heights, CA 95610-7790 | 2008-11-10 |
| 1164689212 | Alexis Dyann Lyons | Dentist | 7916 Pebble Beach Dr, Suite 105, Citrus Heights, CA 95610-7790 | 2008-05-16 |
| 1457533663 | West Coast Maxillofacial Imaging | Dental Laboratory | 7916 Pebble Beach Dr, 204, Citrus Heights, CA 95610-7790 | 2007-11-29 |
| 1669594289 | Gary L Newhouse | Dentist | 7916 Pebble Beach Dr, Suite 206, Citrus Heights, CA 95610-7790 | 2007-04-04 |
| 1467572412 | Darcy Lynn Owen | Dentist | 7916 Pebble Beach Dr, Suite 101, Citrus Heights, CA 95610-7790 | 2007-03-30 |
| 1992855936 | William H Swearingen | Dentist | 7916 Pebble Beach Dr, Suite 203, Citrus Heights, CA 95610-7790 | 2007-01-11 |
| 1255428611 | B Michael Rawlins | Dentist | 7916 Pebble Beach Dr, #205, Citrus Heights, CA 95610 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1831684059 | Omara Sin | Behavior Technician | 5620 Birdcage Street, Suite 230, Citrus Heights, CA 95610 | 2018-06-29 |
| 1528427804 | Mpl Group, LLC | General Practice | 7601 Sunrise Blvd., Suite 8, Citrus Heights, CA 95610 | 2016-02-16 |
| 1851788327 | L.kravchuk Dental Corporation | Dentist | 6240 San Juan Ave, Suite#f, Citrus Heights, CA 95610 | 2015-04-22 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1346582640 | Vista Child Therapy LLC | Physical Therapist | 7579 Old Auburn Road, Citrus Heights, CA 95610 | 2013-03-25 |
| 1982954475 | Exam Collections and Testing Services LLC | Health Maintenance Organization | 6060 Sunrise Vista Dr Ste 1975, Citrus Heights, CA 95610 | 2012-09-12 |
| 1235486168 | Adam Olives | Behavioral Analyst | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 | 2012-08-09 |
| 1245598598 | William S. Fastiggi | Veterinarian | 7484 Sunrise Blvd, Citrus Heights, CA 95610 | 2012-04-24 |
| 1295023679 | The Living Water | Residential Treatment Facility, Physical Disabilities | 7504 Chipmunk Way, Citrus Heights, CA 95610 | 2011-07-19 |
| Find all providers in zip 95610 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801916986 | Elaheh Samsani | Dentist | 7916 Pebble Beach Dr Ste 104, Citrus Heights, CA 95610-7790 | 2007-03-30 |
| 1639492226 | Sierra Periodontal Group | Dentist | 7916 Pebble Beach Dr Ste 104, Citrus Heights, CA 95610-7790 | 2010-03-10 |
| 1003917204 | Russell Everette Weaver | Dentist | 8035 Madison Ave, Suite E-4, Citrus Heights, CA 95610-7949 | 2006-09-26 |
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| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
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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.