DR. HENRY MA (NPI# 1093206815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093206815 |
| Entity Type | Individual |
| Full Name | DR. HENRY MA |
| Credential | DMD |
| Practice Address |
11040 Bollinger Canyon Rd San Ramon CA 94582-4969 |
| Mailing Address |
1214 Mirabeau Ln San Jose CA 95132-2885 |
| Practice Telephone | 4086460220 |
| Mailing Telephone | 4086460220 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
102471 | CA | Dental Providers |
| Street Address |
11040 BOLLINGER CANYON RD |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94582-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609075910 | H. Derick Phan | Dentist | 11040 Bollinger Canyon Rd, Suite K, San Ramon, CA 94582-4959 | 2007-07-16 |
| 1851811822 | Revelcare LLC | Technician, Pathology | 11040 Bollinger Canyon Rd, Ste 839, San Ramon, CA 94582 | 2017-06-21 |
| 1275856817 | Jenny Yoo | Dentist | 11040 Bollinger Canyon Rd, Suite I, San Ramon, CA 94582-4969 | 2010-03-10 |
| 1215160106 | Tiffany Louie Hong | Dentist | 11040 Bollinger Canyon Rd, Suite I, San Ramon, CA 94582-4969 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184252710 | John Paul Yap | Student in an Organized Health Care Education/Training Program | 741 Roseum Ct, San Ramon, CA 94582 | 2020-03-30 |
| 1740762103 | Gilan Mansour | Pharmacist | 7108 Watsonia Dr, San Ramon, CA 94582 | 2018-09-03 |
| 1235635624 | Justin Michael Chan | Pharmacist | 11440 Windemere Parkway, San Ramon, CA 94582 | 2018-04-04 |
| 1033643317 | Ebony Shaunte Berry | Behavior Technician | 3201 Crestfield Dr, San Ramon, CA 94582 | 2017-04-13 |
| 1558729202 | Hoa Trang | Pharmacist | 2053 Poinsettia Street, San Ramon, CA 94582 | 2016-02-09 |
| 1922364652 | Aruna Somani | Internal Medicine | 6400 Main Branch Road, San Ramon, CA 94582 | 2012-04-06 |
| 1790061364 | Darren Dong-shung Gae | Pharmacist | 11440 Windemere Pkwy, San Ramon, CA 94582 | 2011-10-27 |
| 1134457112 | Azmeena Amir Hashem | Nurse Practitioner | 3085 Lakemont Dr Unit 3, San Ramon, CA 94582 | 2009-12-02 |
| 1619985892 | Rashpal S. Deol | Dentist | 500 Bollinger Canyon Way Ste 8.5, San Ramon, CA 94582 | 2006-08-04 |
| 1023553542 | Alan Phan | Pharmacist | 11440 Windemere Pkwy, San Ramon, CA 94582 | 2016-12-20 |
| Find all providers in zip 94582 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033062 | Nachiket Saoji | Dentist | 2817 Crow Canyon Rd Ste 100, San Ramon, CA 94583 | 2011-07-29 |
| 1053530741 | Hochdds | Dentist | 2301 Camino Ramon Ste 280, San Ramon, CA 94583-2029 | 2007-04-24 |
| 1356412647 | Sudha Sesha Chinta | Dentist | 12111 Alcosta Blvd, San Ramon, CA 94583-2637 | 2006-11-10 |
| 1851874622 | Saoji Dental Inc | Dentist | 2817 Crow Canyon Rd Ste 100, San Ramon, CA 94583-1639 | 2018-09-07 |
| 1639574783 | Sue Hoch | Dentist | 2301 Camino Ramon, Suite 280, San Ramon, CA 94583-4440 | 2014-10-31 |
| 1083019129 | Barry Hoch | Dentist | 2301 Camino Ramon, Suite 280, San Ramon, CA 94583-4440 | 2014-10-31 |
| 1629290333 | Ronald W. Filice I | Dentist | 9301 Fircrest Ln, Ste. 3, San Ramon, CA 94583-3960 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
| 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.