DR. LOUIE BANTUGAN MENDOZA (NPI# 1104023621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104023621 |
| Entity Type | Individual |
| Full Name | DR. LOUIE BANTUGAN MENDOZA |
| Credential | D.D.S. |
| Practice Address |
296 Arlington Ave Kensington CA 94707-1402 |
| Practice Telephone | 5105268311 |
| Practice Fax Number | 5105269323 |
| Mailing Telephone | 5105268311 |
| Mailing Fax Number | 5105269323 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 42937 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID | 943307533 | 01 |
| Street Address |
296 ARLINGTON AVE |
| City | KENSINGTON |
| State | CA |
| Zip Code | 94707-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| 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 |
|---|---|---|---|---|
| 1720534886 | Parissa Youssefi | Dentist | 4009 Wexford Dr, Kensington, MD 20895-1524 | 2016-08-29 |
| 1649486556 | Morris Antonelli | Dentist | 9612 Hawick Lane, Kensington, MD 20895 | 2007-05-15 |
| 1942423785 | Constantine Scott Buonanno | Dentist | 1105 Farmington Ave, Kensington, CT 06037-2241 | 2007-04-10 |
| 1538206503 | Richard G. Viagrande | Dentist | 300 New Britain Rd, Kensington, CT 06037-1355 | 2007-01-31 |
| 1922156488 | Kenneth Woo Dds LLC | Dentist | 3704 Perry Ave, Kensington, MD 20895 | 2007-01-08 |
| 1356433247 | James Rogers Dds PC | Dentist | 460 New Britain Road, Kensington, CT 06037 | 2006-09-28 |
| 1336241108 | Ellen Ann Venton | Dentist | 296 Arlington Avenue, Kensington, CA 94707-1496 | 2006-09-02 |
| 1356365910 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 11301 Rockville Pike, Kensington, MD 20895-1060 | 2006-07-27 |
| 1871515742 | James R Hegg Dmd PC | Dentist | 925 Farmington Ave, Kensington, CT 06037 | 2006-07-23 |
| 1932131786 | Martin Ward Strouch | Dentist | 56 Chamberlain Hwy, Kensington, CT 06037 | 2006-07-06 |
| Find all providers in KENSINGTON | ||||
| City | KENSINGTON |
| Zip Code | 94707 |
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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.