MATTHEW JON STARK (NPI# 1154519296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154519296 |
| Entity Type | Individual |
| Full Name | MATTHEW JON STARK |
| Credential | DDS |
| Practice Address |
144 Stony Point Rd Santa Rosa CA 95401-4122 |
| Practice Telephone | 7075214600 |
| Practice Fax Number | 7075214620 |
| Mailing Telephone | 7075214600 |
| Mailing Fax Number | 7075214620 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2012-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
56420 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417484783 | Matthew Steven Stark | Emergency Medicine | 36065 Santa Fe Ave, Attn: Residency Center, Er Box 276, Fort Hood, TX 76544-5095 | 2017-05-17 |
| 1194187963 | Matthew Stark | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2016-03-22 |
| 1609105691 | Matthew L Stark | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2009-12-21 |
| 1174700934 | Matthew T Stark | Physician Assistant | 1937 W Harvard Ave, Roseburg, OR 97471-2720 | 2008-01-23 |
| 1437331758 | Matthew Warner Stark | Pathology | 1430 Tulane Ave, Sl-79, New Orleans, LA 70112-2632 | 2007-11-28 |
| Street Address |
144 STONY POINT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965771 | Jennifer L Betts | Family Medicine | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2005-07-12 |
| 1013478569 | Shaye Larie | Nurse Practitioner | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2019-03-27 |
| 1750853206 | Wendy Lippard | Dietitian, Registered | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2018-12-21 |
| 1083102560 | Mark Voorhees Darlington | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2018-04-30 |
| 1952851016 | Chandra Matthews | Dietitian, Registered | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2016-10-12 |
| 1053860221 | Timothy Samuel Tong | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2016-09-28 |
| 1982152518 | Ana Quiroz | Counselor | 144 Stony Point Rd, Santa Rosa, CA 95401 | 2016-09-12 |
| 1710330311 | Suzanne Yeomans | Social Worker | 144 Stony Point Rd, Santa Rosa, CA 95401 | 2016-07-19 |
| 1124408984 | Gloria Felling | Registered Nurse | 144 Stony Point Rd, 144 Stony Point Road, Santa Rosa, CA 95401-4122 | 2015-06-05 |
| 1639558174 | Trenae Hanaya | Registered Nurse | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1194369942 | M.s. Salek Dds, A Dental Corporation | Dentist | 2448 Guerneville Rd Ste 1000, Santa Rosa, CA 95403-7226 | 2019-11-05 |
| 1346806791 | Scott C. Bonin D.d.s. A Professional Denal Corporation | Dentist | 1260 N Dutton Ave Ste 290, Santa Rosa, CA 95401-7159 | 2019-05-11 |
| 1285035527 | Jeffers Dentistry Partnership | Dentist | 1820 Sonoma Ave Ste 42, Santa Rosa, CA 95405-6617 | 2014-09-05 |
| 1447699517 | Natalia Camacho-worms | Dentist | 1300 N. Dutton Ave, Santa Rosa, CA 95401 | 2013-06-21 |
| 1205170065 | Yunfei Fan Dds, A Professional Corporation | Dentist | 1420 Guerneville Rd Ste 5, Santa Rosa, CA 95403-4124 | 2012-11-19 |
| 1811231947 | Tingjen Ji | Dentist | 170 Farmers Ln Ste 1, Santa Rosa, CA 95405-4750 | 2012-11-15 |
| 1114295854 | James Klim | Dentist | 2755 Mendocino Ave, Suite 204, Santa Rosa, CA 95403-2827 | 2011-12-08 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| 1700029303 | Richard Anderson Dds | Dentist | 90 Doctors Park Drive, Santa Rosa, CA 95405-9998 | 2009-04-13 |
| 1356506596 | Kenneth James Bauer | Dentist | 55 Mission Cir Ste 107, Santa Rosa, CA 95409-5372 | 2008-07-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on MATTHEW JON STARK.
| 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.