DR. BRENT JOSEPH PORTER (NPI# 1134331887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134331887 |
| Entity Type | Individual |
| Full Name | DR. BRENT JOSEPH PORTER |
| Credential | D.D.S., M.S. |
| Practice Address |
550 Water St Suite D, Number 1 Santa Cruz CA 95060-4124 |
| Mailing Address |
Po Box 580 Aptos CA 95001-0580 |
| Practice Telephone | 8314599802 |
| Practice Fax Number | 8314598234 |
| Mailing Telephone | 8314599802 |
| Mailing Fax Number | 8314598234 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
39322 | CA | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
39322 | CA | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
39322 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | B39322 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336777846 | Brent William Porter | Occupational Therapist | 13835 Boren St, Huntersville, NC 28078-6476 | 2020-03-30 |
| 1588657357 | Brent Porter | Chiropractor | 115 N. 4th St., Leoti, KS 67861 | 2005-08-26 |
| 1588680672 | Brent A Porter | Internal Medicine | 441 Highway 71 W, Suite C, Bastrop, TX 78602-3931 | 2006-07-14 |
| Street Address |
550 WATER ST SUITE D, NUMBER 1 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388575 | John A Van Every | Optometrist | 550 Water St, J-5, Santa Cruz, CA 95060-4124 | 2005-07-07 |
| 1003354077 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 550 Water St, Bldg. B1, Santa Cruz, CA 95060-4124 | 2017-02-09 |
| 1366984502 | Deborah Barkow-korenstein | Marriage & Family Therapist | 550 Water St, Suite #3, Santa Cruz, CA 95060-4124 | 2016-11-04 |
| 1922451939 | Emily Eagar Calmette | Counselor | 550 Water St, Building C, Suite 3, Santa Cruz, CA 95060-4124 | 2016-07-14 |
| 1063873958 | Rebecca Skinner | Marriage & Family Therapist | 550 Water St, Building C, Suite 3, Santa Cruz, CA 95060-4124 | 2016-03-18 |
| 1619303062 | Dawn Roxanne Barrett-lauer | Hearing Instrument Specialist | 550 Water St, Building 'b', Santa Cruz, CA 95060-4124 | 2013-09-17 |
| 1033482013 | Leah N Manary | Speech-Language Pathologist | 550 Water St, Suite F-1, Santa Cruz, CA 95060-4124 | 2012-02-21 |
| 1881974814 | John Anthony Hedrick | Dentist | 550 Water St, Suite B2, Santa Cruz, CA 95060-4124 | 2011-08-22 |
| 1497035893 | William J Zinnanti | Psychiatry & Neurology | 550 Water St, Suite I-4, Santa Cruz, CA 95060-4124 | 2011-08-17 |
| 1942590245 | Jeffrey Daniel Smith | Dentist | 550 Water St, Ste I2, Santa Cruz, CA 95060-4134 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407401409 | Aura Marcela Torres Dds Inc | Dentist | 706 Frederick St, Santa Cruz, CA 95062-2205 | 2019-08-06 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1376739417 | Don Wilhelm Larson | Dentist | 916 Center St, Santa Cruz, CA 95060-3808 | 2007-09-21 |
| 1376737270 | Aura Marcela Torres | Dentist | 606 Frederick St, Santa Cruz, CA 95062-2203 | 2007-09-04 |
| 1205028156 | Alan Heit | Dentist | 903 Cedar St, Santa Cruz, CA 95060-3801 | 2007-08-14 |
| 1982895579 | David Lloyd Biles | Dentist | 604 Frederick St, Santa Cruz, CA 95062-2203 | 2007-08-07 |
| 1952514010 | Tim M Znamirowski | Dentist | 553 Frederick St, Santa Cruz, CA 95062-2635 | 2007-05-07 |
| 1437288594 | Mark Ebrahimian | Dentist | 2112 Soquel Ave, Santa Cruz, CA 95062-1401 | 2007-03-05 |
| 1457496309 | David Paul Klim | Dentist | 500 Mission St, Santa Cruz, CA 95060-3611 | 2007-02-20 |
| 1275606147 | William Brian Christie | Dentist | 918 Center St, Santa Cruz, CA 95060-3808 | 2006-11-16 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on DR. BRENT JOSEPH PORTER.
| 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.