DR. MARK S DOUGLAS (NPI# 1144388398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144388398 |
Entity Type | Individual |
Full Name | DR. MARK S DOUGLAS |
Credential | DDS, MSD |
Practice Address |
4827 Laguna Park Dr Suite 5 Elk Grove CA 95758-5159 |
Practice Telephone | 9163921885 |
Practice Fax Number | 9163921888 |
Mailing Telephone | 9163921885 |
Mailing Fax Number | 9163921888 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30536 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306974464 | Mark L Douglas | Internal Medicine | 5098 West Washington St, Ste 408, Cross Lanes, WV 25313-1419 | 2007-03-01 |
1508475062 | Mark Douglas | Social Worker | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2020-07-30 |
1649335118 | Mark Stephen Douglas | Dermatology | 2080 Child St, Department of Dermatology - Naval Hospital Jacksonville, Jacksonville, FL 32214-5005 | 2006-12-26 |
1033226923 | Mark A Douglas | Recreation Therapist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-08-24 |
1326050410 | Mark A Douglas | Emergency Medicine | 1 Medical Center Drive, Biddeford, ME 04005 | 2006-08-13 |
1679576516 | Mark Jason Douglas | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2005-05-24 |
Street Address |
4827 LAGUNA PARK DR SUITE 5 |
City | ELK GROVE |
State | CA |
Zip Code | 95758-5159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164789913 | Amanda Zhan Chen | Dentist | 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 | 2012-04-18 |
1730205501 | Jamson Wu | Dentist | 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
Find all providers in zip 95758 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629484985 | Daniel Hulme | Dentist | 5010 Laguna Blvd Ste 101, Elk Grove, CA 95758-4148 | 2014-07-08 |
1134243470 | George Shannon Mayweather | Dentist | 8013 Laguna Blvd Ste 1, Elk Grove, CA 95758-7920 | 2007-03-19 |
1770647208 | John Anthony Oshetski | Dentist | 9340 W Stockton Blvd, 110, Elk Grove, CA 95758-8014 | 2006-12-20 |
1073680492 | Gregory Lee Adams | Dentist | 7915 Laguna Blvd Ste 160, Elk Grove, CA 95758-7944 | 2006-11-29 |
1477566925 | John Douglas Webber | Dentist | 9717 Elk Grove Florin Rd, #d, Elk Grove, CA 95624-2262 | 2006-08-15 |
1174939581 | Chrishell Yates | Dentist | 5010 Laguna Blvd, Ste 101, Elk Grove, CA 95758-4148 | 2014-07-07 |
1508276460 | Matthew August Sandretti | Dentist | 9727 Elk Grove Florin Rd, Elk Grove, CA 95624-2264 | 2014-04-30 |
1164789913 | Amanda Zhan Chen | Dentist | 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 | 2012-04-18 |
1376797209 | Steven Harvey Scott | Dentist | 3001 Vaux Ave, Suite 1, Elk Grove, CA 95758-7470 | 2008-11-05 |
1962604389 | Vincent T Chiappone | Dentist | 9340 W Stockton Blvd, Suite 110, Elk Grove, CA 95758-8014 | 2007-06-05 |
Find all providers in ELK GROVE |
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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.