RAY G ENNEKING (NPI# 1073664314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073664314 |
| Entity Type | Individual |
| Full Name | RAY G ENNEKING |
| Credential | D.D.S |
| Practice Address |
316 S Auburn St Ste 5 Grass Valley CA 95945-7298 |
| Practice Telephone | 5302740920 |
| Practice Fax Number | 5302748935 |
| Mailing Telephone | 5302740920 |
| Mailing Fax Number | 5302748935 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18545 | CA | Dental Providers |
| Street Address |
316 S AUBURN ST STE 5 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-7298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| 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 |
|---|---|---|---|---|
| 1780155663 | Parker White | Dentist | 453 S Auburn St, Grass Valley, CA 95945-7224 | 2018-12-17 |
| 1508157843 | Mark D Winger | Dentist | 509 S Auburn St, Grass Valley, CA 95945-7221 | 2011-04-20 |
| 1417199514 | Thomas J Minch | Dentist | 11910 Hidden Valley Rd, Grass Valley, CA 95949-8710 | 2009-04-03 |
| 1043413057 | Adriaan Boer | Dentist | 622 So Auburn St, Grass Valley, CA 95945 | 2007-06-07 |
| 1508076035 | Bruce Eric Golder | Dentist | 404 S Auburn St, Grass Valley, CA 95945-7226 | 2007-05-23 |
| 1154542017 | Michael F. Gallego | Dentist | 122 Bank St, Grass Valley, CA 95945-6520 | 2007-05-01 |
| 1720118805 | Peter Toan-ngoc Luong | Dentist | 470 S Auburn St, # D, Grass Valley, CA 95945-7292 | 2007-03-06 |
| 1376681346 | J Scott Fletcher, Dds | Dentist | 563 Brunswick Road Suite 3, Grass Valley, CA 95945 | 2007-02-02 |
| 1942353388 | Mark H Paye | Dentist | 316 South Auburn St, Grass Valley, CA 95945-7298 | 2007-01-19 |
| 1912087503 | Stacy M Fore | Dentist | 984 Plaza Dr, Grass Valley, CA 95945-9532 | 2006-10-17 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.