DR. KENNETH WAYNE PIERSON (NPI# 1174546675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174546675 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WAYNE PIERSON |
| Credential | DDS, MPH |
| Practice Address |
1979 Hillman St Tulare CA 93274-1601 |
| Practice Telephone | 5597324279 |
| Practice Fax Number | 5596364455 |
| Mailing Telephone | 5597324279 |
| Mailing Fax Number | 5596364455 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22015 | CA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
GA1045 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DELTA DENTAL OF CA | 0000222015CA | 01 |
| CA | DENTI-CAL PROVIDER ID | B22015-01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801456819 | Kenneth Michael Pierson | Psychologist | 100 Bowne St Ne, Grand Rapids, MI 49505-4014 | 2019-06-20 |
| 1346729365 | Kenneth Lawrence Pierson IIi | Physician Assistant | 20130 Route 19 Ste 1000, Cranberry Township, PA 16066-6218 | 2018-08-09 |
| 1902044183 | Kenneth David Pierson | Dentist | 1 Quartermaster Road, Saipan, MP 96950 | 2009-01-27 |
| 1255363081 | Kenneth R Pierson | Optometrist | 15677 San Pedro, B, San Antonio, TX 78232-3732 | 2006-07-06 |
| Street Address |
1979 HILLMAN ST |
| City | TULARE |
| State | CA |
| Zip Code | 93274-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609250299 | Kenneth W, Pierson Dds Inc. | Clinic/Center | 1979 Hillman St, Tulare, CA 93274-1601 | 2015-07-14 |
| 1184054041 | Dream Dentistry, Inc. | Dentist | 1979 Hillman St, Tulare, CA 93274-1601 | 2013-11-13 |
| 1235487745 | Bryan John Horgan | Dentist | 1979 Hillman St, Tulare, CA 93274-1601 | 2012-08-15 |
| 1932418464 | Frederick Chun | Dentist | 1979 Hillman St, Tulare, CA 93274-1601 | 2010-10-01 |
| 1326361460 | Hapy Bear Surgery Center LLC | Clinic/Center | 1979 Hillman St, Tulare, CA 93274-1601 | 2010-03-03 |
| 1508086299 | Kenneth W Pierson Dds Inc | Dentist | 1979 Hillman St, Tulare, CA 93274-1601 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545502 | Patricia A Akins | Technician | 212 E Gannon Drive, Tulare, CA 93274 | 2019-08-27 |
| 1851956312 | Britney Ann Graham | Behavior Technician | 160 N L St, Tulare, Ca 93274, Tulare, CA 93274 | 2019-05-09 |
| 1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
| 1396230710 | Claudia Azucena Gomez | Specialist/Technologist | 6165 Avenue 240, Tulare, CA 93274 | 2018-06-27 |
| 1679009708 | California Medical Imaging Associates, Inc | Radiology | 875 E. Merritt Ave, Tulare, CA 93274 | 2017-05-10 |
| 1073997201 | Family Healthcare Network | Clinic/Center | 263 S. West Street, Tulare, CA 93274 | 2015-07-17 |
| 1598195059 | Antoinette Gutierrez | Counselor | 724 N. Ben Maddox Way, Visalia, CA 93274 | 2013-11-20 |
| 1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
| 1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
| 1346507985 | David Augustine Castro | Counselor | 209 North N Street, Tulare, CA 93274 | 2012-04-20 |
| Find all providers in zip 93274 | ||||
| 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 |
|---|---|---|---|---|
| 1881130227 | Jenny Thai | Dentist | 1407 Hillman St, Tulare, CA 93274-1600 | 2017-01-10 |
| 1144659434 | Brian Bell | Dentist | 970 N Cherry St, Tulare, CA 93274-2210 | 2013-11-06 |
| 1407037773 | Soo-hyun Kim | Dentist | 1945 Academy Ave, Tulare, CA 93274-3185 | 2007-11-15 |
| 1265633531 | Torkaman & Torabi's Dental Corp | Dentist | 224 N M St, Tulare, CA 93274-4139 | 2007-05-31 |
| 1295870319 | Dennis K. Buhler | Dentist | 202 S N St, Tulare, CA 93274-4214 | 2007-02-20 |
| 1861535361 | Costin Marinescu | Dentist | 1040 N Cherry St, Tulare, CA 93274-2251 | 2007-02-14 |
| 1215027511 | Yi He | Dentist | 1221 N Cherry St, Tulare, CA 93274-2233 | 2006-10-15 |
| 1851480636 | Carlos A Moraza | Dentist | 142 South N Street, Tulare, CA 93274-4212 | 2006-10-12 |
| 1518069558 | John Alan Fawson | Dentist | 1221 N Cherry, Tulare, CA 93274-2333 | 2006-09-01 |
| 1497303267 | Jaime Arturo Tobon | Dentist | 1263 N Cherry St, Tulare, CA 93274-2233 | 2019-08-26 |
| Find all providers in TULARE | ||||
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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.