MARTY R. LIPSEY, DDS, MS, INC (NPI# 1073875852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073875852 |
| Entity Type | Organization |
| Organization Name | MARTY R. LIPSEY, DDS, MS, INC |
| Practice Address |
2421 Hartnell Ave Redding CA 96002-2340 |
| Mailing Address |
3025 Mchenry Ave Suite N Modesto CA 95350-1466 |
| Practice Telephone | 2095271995 |
| Practice Fax Number | 8665272335 |
| Mailing Telephone | 2095271995 |
| Mailing Fax Number | 8665272335 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | DR. MARTY RICHARD LIPSEY (PRESIDENT) |
| Authorized Official Telephone | 2093805486 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
26675 | CA | Ambulatory Health Care Facilities |
| Street Address |
2421 HARTNELL AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96002-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538360631 | Karen Kay Avantino | Dentist | 2421 Hartnell Ave, Redding, CA 96002 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1225635147 | Yat T. Tang, Dds, Ms, Phd, Inc. | Clinic/Center | 3550 Eureka Way Ste 1, Redding, CA 96001-0157 | 2020-10-04 |
| 1467937367 | Quailhearst Corp | Clinic/Center | 2775 Park Marina Dr Ste A, Redding, CA 96001-2840 | 2018-09-27 |
| 1578160339 | Mark P. Lewis, Dds, Inc | Clinic/Center | 3855 Churn Creek Rd, Redding, CA 96002-3229 | 2020-10-05 |
| 1053928911 | Han Anesthesiology | Clinic/Center | 2 Long Ridge Rd, Redding, CT 06896-1111 | 2020-09-24 |
| 1104450956 | Bethany Sr Pllc | Clinic/Center | 2 Long Ridge Rd, Redding, CT 06896-1111 | 2020-03-01 |
| 1205328291 | Shannika Dao Dds Inc. | Clinic/Center | 2695 Bechelli Ln, Redding, CA 96002 | 2018-06-05 |
| 1437573151 | Terrance A. Rust Dds, Inc | Clinic/Center | 2315 Bechelli Ln, Suite A, Redding, CA 96002-0119 | 2014-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| 1013515196 | Bayrakdarian Tulare, D.m.d., Inc., A Professional Corporation | Clinic/Center | 1450 E Prosperity Ave, Tulare, CA 93274-8054 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.