MICHAEL RAY NICHOLSON (NPI# 1144718834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144718834 |
| Entity Type | Individual |
| Full Name | MICHAEL RAY NICHOLSON |
| Credential | DDS |
| Practice Address |
10929 South St Ste 106b Cerritos CA 90703-5373 |
| Mailing Address |
3530 Mound View Ave Studio City CA 91604-3624 |
| Practice Telephone | 8183982609 |
| Practice Fax Number | 8187616490 |
| Mailing Telephone | 8183982609 |
| Mailing Fax Number | 8187616490 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21927 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591827 | Michael Nicholson | Counselor | 1990 Augusta St Ste 204, Greenville, SC 29605-6505 | 2019-10-30 |
| 1619101847 | Michael R Nicholson | Counselor | 10940 W Forest Home Ave, Hales Corners, WI 53130-2516 | 2009-05-01 |
| 1942241633 | Michael Nicholson | Obstetrics & Gynecology | 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 | 2006-06-10 |
| 1609418797 | Michael John Nicholson | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2019-10-10 |
| 1518523927 | Michael Nicholson | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-05-13 |
| 1083145890 | Michael Palmer Nicholson | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-03-23 |
| 1407169097 | Michael P Nicholson | Family Medicine | 1410 Sw Tradition Dr, Ste 120, Ankeny, IA 50023 | 2010-07-23 |
| 1043457609 | Michael B. Nicholson Jr. | Counselor | 104 S Front Ave, Prestonsburg, KY 41653 | 2009-01-19 |
| Street Address |
10929 SOUTH ST STE 106B |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-5373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| 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 |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1568928984 | Compean D.d.s. A Professional Corp. | Dentist | 10945 South St Ste 200a, Cerritos, CA 90703-5366 | 2019-02-11 |
| 1184108425 | Jiyoung Ha | Dentist | 13735 La Jara Cir, Cerritos, CA 90703-6351 | 2018-09-22 |
| 1588061253 | Angela Ondine Espiritu | Dentist | 19218 Bloomfield Ave, Cerritos, CA 90703-7106 | 2014-11-25 |
| 1780986604 | Shawn Hofkes | Dentist | 11480 South St, 201, Cerritos, CA 90703-6645 | 2010-11-29 |
| 1275841496 | Palarb Boonmee | Dentist | 19625 Sabrina Ct, Cerritos, CA 90703-7360 | 2010-09-22 |
| 1275762569 | Christy Ha Thai | Dentist | 11135 183rd St, Cerritos, CA 90703-5415 | 2009-07-07 |
| 1417116245 | Arlene Bulos Kamppila | Dentist | 19629 Alida Ave, Cerritos, CA 90703-7513 | 2008-06-06 |
| 1386814879 | Mario Hernani Mangune | Dentist | 11453 South St, Cerritos, CA 90703-6600 | 2008-03-11 |
| Find all providers in CERRITOS | ||||
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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.