JOHN EWING KIESSELBACH (NPI# 1093903312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093903312 |
| Entity Type | Individual |
| Full Name | JOHN EWING KIESSELBACH |
| Credential | DDS |
| Practice Address |
6000 Fairway Drive Suite 10 Rocklin CA 95677 |
| Practice Telephone | 9166325809 |
| Practice Fax Number | 9166325814 |
| Mailing Telephone | 9166325809 |
| Mailing Fax Number | 9166325814 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | CA24466 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
CA24466 | CA | Dental Providers |
| Street Address |
6000 FAIRWAY DRIVE SUITE 10 |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629564752 | Aimee K. Lubell | Psychologist | 3175 Sunset Blvd., Suite 104b, Rocklin, CA 95677 | 2018-07-01 |
| 1659810760 | Cal Urgent Care, PC | Clinic/Center | 6641 Stanford Ranch Rd, Rocklin, CA 95677 | 2017-02-22 |
| 1821469370 | Gold Country Hearing Associates, Inc | Audiologist-Hearing Aid Fitter | 4780 Granite Drive Suite 600, Rocklin, CA 95677 | 2015-10-09 |
| 1013325778 | Dave Si Dong | Pharmacist | 5609 Pacific Street, Rocklin, CA 95677 | 2014-07-25 |
| 1417235532 | On Demand Primary Care & Nursing, Inc | Nurse Practitioner | 4585 Northstar Street, Rocklin, CA 95677 | 2011-07-22 |
| 1235322082 | Elizabeth Anne Roullier Bunz | Dentist | 4230 Rocklin Rd, Rocklin, CA 95677 | 2007-08-24 |
| 1366576712 | Michael Alen Laidlaw | Marriage & Family Therapist | 5780 Grove Street, Rocklin, CA 95677 | 2007-03-16 |
| 1033281365 | Sunnie Lee Skiles | Pediatrics | 6815 Five Star Blvd Ste 100, Rocklin, CA 95677 | 2006-11-14 |
| 1164516779 | Kasi L. Franck | Dentist | 3104 Sunset Blvd Ste 1a, Rocklin, CA 95677 | 2006-10-03 |
| 1033202650 | Lezley Brown | Family Medicine | 6960 Destiny Dr Ste 100, Rocklin, CA 95677 | 2006-10-02 |
| Find all providers in zip 95677 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942185 | S.y.y Jang Dds Corp | Dentist | 2241 Sunset Blvd Ste E2, Rocklin, CA 95765-4295 | 2018-05-17 |
| 1568844231 | William Cox Dental Corporation | Dentist | 5494 Crossings Dr, Ste 103, Rocklin, CA 95677-3920 | 2015-06-18 |
| 1386036325 | Charles B Smurthwaite, D.d.s., Inc. | Dentist | 6500 Lonetree Blvd Ste 100, Rocklin, CA 95765-5874 | 2015-02-27 |
| 1902169774 | Shane Mark Douglas | Dentist | 3700 Atherton Rd, Rocklin, CA 95765-3717 | 2012-06-18 |
| 1003104399 | Sumeet Kaur | Dentist | 4230 Rocklin Rd Ste E2, Rocklin, CA 95677-2869 | 2011-07-20 |
| 1962790337 | Robert Dubanski | Dentist | 4750 Rocklin Rd Ste 100, Rocklin, CA 95677-4308 | 2011-07-19 |
| 1306159488 | Gina Lucia Salatino | Dentist | 3071 Stanford Ranch Rd Ste C3, Rocklin, CA 95765-5564 | 2010-07-19 |
| 1093048977 | Taraneh Kahbody | Dentist | 6000 Fairway Dr Ste 18, Rocklin, CA 95677-4246 | 2009-09-10 |
| 1144483967 | Sharon Michelle Prindle | Dentist | 6601 Blue Oaks Blvd, #301, Rocklin, CA 95765-5948 | 2008-07-02 |
| 1447431333 | Mignon C Mapanao | Dentist | 5752 Lonetree Blvd, Rocklin, CA 95765-3734 | 2007-11-19 |
| Find all providers in ROCKLIN | ||||
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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.