KIMBERLY ANN MAHOOD (NPI# 1073810107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073810107 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN MAHOOD |
| Credential | D.M.D., M.S.D. |
| Practice Address |
2245 Montgomery Dr Santa Rosa CA 95405-4900 |
| Mailing Address |
199 New Montgomery St Unit 902 San Francisco CA 94105-3802 |
| Practice Telephone | 7075750600 |
| Mailing Telephone | 4159717848 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
57270 | CA | Dental Providers |
| Street Address |
2245 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992957864 | Rael Ilan Bernstein | Dentist | 2245 Montgomery Dr, Santa Rosa, CA 95405-4900 | 2008-10-22 |
| 1053658971 | Rael Bernstein Dds Apc | Dentist | 2245 Montgomery Dr, Santa Rosa, CA 95405 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1992957864 | Rael Ilan Bernstein | Dentist | 2245 Montgomery Dr, Santa Rosa, CA 95405-4900 | 2008-10-22 |
| 1609096387 | Don R Guest | Dentist | 1791 Marlow Rd, Suite 9, Santa Rosa, CA 95401-4151 | 2007-04-26 |
| 1952428195 | Frank J. Cercone | Dentist | 1880 Sonoma Ave, Santa Rosa, CA 95405-4953 | 2007-03-23 |
| 1295871515 | Donald Frederick Hull | Dentist | 4100 Montgomery Dr Ste B, Santa Rosa, CA 95405-5283 | 2007-01-30 |
| 1851452353 | Jae Sik Hur | Dentist | 4100 Montgomery Dr, Santa Rosa, CA 95405-5282 | 2006-12-12 |
| 1023013398 | Brian William Payne | Dentist | 36 Doctors Park Dr, Santa Rosa, CA 95405-6615 | 2005-06-14 |
| 1215383260 | Joseph L. Eliason, Dds, Msd, Apc | Dentist | 1880 Sonoma Ave, Santa Rosa, CA 95405-4953 | 2016-05-09 |
| 1215357892 | Joseph Eliason | Dentist | 1880 Sonoma Ave, Santa Rosa, CA 95405-4953 | 2014-04-22 |
| 1770821555 | Kiri Herchold | Dentist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2013-01-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on KIMBERLY ANN MAHOOD.
| 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.