HERBERT KEIJI MAMEDA (NPI# 1093804171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093804171 |
| Entity Type | Individual |
| Full Name | HERBERT KEIJI MAMEDA |
| Credential | DDS |
| Practice Address |
512 N Main St Rocky Ford CO 81067 |
| Mailing Address |
Po Box 306 Rocky Ford CO 81067 |
| Practice Telephone | 7192547434 |
| Practice Fax Number | 7192545630 |
| Mailing Telephone | 7192547434 |
| Mailing Fax Number | 7192545630 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2793 | CO | Dental Providers |
| Street Address |
512 N MAIN ST |
| City | ROCKY FORD |
| State | CO |
| Zip Code | 81067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124455035 | Joni Anne Stevens | Case Manager/Care Coordinator | 903 S 12th Street, Rocky Ford, CO 81067 | 2013-10-09 |
| 1548554454 | Wendy S. Adrian | Physical Therapist | 900 S. 12th St, Rocky Ford, CO 81067 | 2011-06-08 |
| 1114148780 | Calee Ann Mcclure | Chiropractor | 605 North 9th Street, Rocky Ford, CO 81067 | 2007-05-01 |
| 1902971963 | Dale N Horiuchi | Physical Therapist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-11-22 |
| 1174626402 | Matthew David Lewis | Family Medicine | 20817 Highway 266, Rocky Ford, CO 81067 | 2006-09-05 |
| 1548338114 | Kathryn A Overmyer | Speech-Language Pathologist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-12-01 |
| 1881769842 | Mollie R Stuchlik | Occupational Therapist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-11-22 |
| 1013271824 | Lucas Craig Ortega | Chiropractor | 605 N 9th St, Rocky Ford, CO 81067-1013 | 2012-06-26 |
| 1073042586 | Hannah N Muth | Massage Therapist | 605 N 9th St, Rocky Ford, CO 81067-1013 | 2017-06-08 |
| 1821343260 | Back To Health Chiropractic PC | Chiropractor | 605 N 9th St, Rocky Ford, CO 81067-1013 | 2012-07-23 |
| Find all providers in zip 81067 | ||||
| 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 |
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|---|---|---|---|---|
| 1346848496 | Vantage Pointe Dental Pllc | Dentist | 11410 Via Varra Unit 400, Broomfield, CO 80020-9764 | 2020-10-12 |
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1588279350 | Parker Alan Drake | Dentist | 36 E Allen St Ste 100, Castle Rock, CO 80108-7823 | 2020-09-09 |
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1124632575 | Kristine Villanueva | Dentist | 18620 Green Valley Ranch Blvd, Denver, CO 80249-6843 | 2020-09-03 |
| 1710591342 | Station Dental Group, PC | Dentist | 14001 E Iliff Ave Ste 104, Aurora, CO 80014-1424 | 2020-09-01 |
| 1336751213 | Michael Kawulok | Dentist | 5221 Pinehurst Dr, Boulder, CO 80301-3792 | 2020-08-20 |
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1801406087 | Victoria Ton | Dentist | 925 S Niagara St Ste 480, Denver, CO 80224-1681 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY FORD |
| Zip Code | 81067 |
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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.