AMERICAN DENTAL SURGERY CENTERS, INC. (NPI# 1174622146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174622146 |
Entity Type | Organization |
Organization Name | AMERICAN DENTAL SURGERY CENTERS, INC. |
Other Organization Name | MODESTO DENTAL SURGERY CENTER |
Practice Address |
4016 Dale Rd Modesto CA 95356-9268 |
Mailing Address |
7123 Beltis Dr Modesto CA 95356-9547 |
Practice Telephone | 2092383589 |
Mailing Telephone | 2092383589 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. VICKIE A KASPRZYK (PRESIDENT) |
Authorized Official Telephone | 2092383589 |
Authorized Official Credential | R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Modesto Dental Surgery Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225138647 | American Dental Surgery Centers, Inc. | Clinic/Center | 1523 E. March Ln., Suite 100, Stockton, CA 95210-5663 | 2006-09-25 |
Street Address |
4016 DALE RD |
City | MODESTO |
State | CA |
Zip Code | 95356-9268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679541528 | Benjamin J Remington | Specialist | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-03-08 |
1770104606 | Markus Jackson Md Inc | Anesthesiology | 4016 Dale Rd, Modesto, CA 95356-9268 | 2020-05-01 |
1548656937 | Markus Jackson | Anesthesiology | 4016 Dale Rd, Modesto, CA 95356-9268 | 2015-04-13 |
1619317716 | Gregory M Helbig Md Inc | Neurological Surgery | 4016 Dale Rd, Modesto, CA 95356-9268 | 2013-07-03 |
1679718753 | Benjamin J Remington M D Inc | Neurological Surgery | 4016 Dale Rd, Modesto, CA 95356-9268 | 2008-12-03 |
1023253101 | David B Bybee M D Inc | Neurological Surgery | 4016 Dale Rd, Modesto, CA 95356-9268 | 2008-12-03 |
1972761211 | Gregory M Helbig | Specialist | 4016 Dale Rd, Modesto, CA 95356-9268 | 2008-05-22 |
1962508325 | Dat Thanh Do | Internal Medicine | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-09-15 |
1912918962 | Kyle B Heron | Anesthesiology | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-08-11 |
1841230802 | John Richard Hamm | Internal Medicine | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
Find all providers in zip 95356 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619525912 | Summit Surgery Center Modesto, Inc | Clinic/Center | 654 Lyell Dr, Modesto, CA 95356-8997 | 2019-08-29 |
1376893784 | San Joaquin Valley Surgery Center | Clinic/Center | 1524 Mchenry Ave Ste 240, Modesto, CA 95350-4566 | 2012-09-12 |
1255529756 | Christopher F Amsden Medical Corporation | Clinic/Center | 1524 Mchenry Ave Ste 465, Modesto, CA 95350-4574 | 2007-10-09 |
1356463913 | Modesto Surgery Center Inc | Clinic/Center | 400 E Orangeburg Ave Ste 1, Modesto, CA 95350-5342 | 2007-04-04 |
1538280284 | Physicians Surgery Center of Modesto Inc | Clinic/Center | 609 E Orangeburg Ave # B, Modesto, CA 95350-5580 | 2007-04-02 |
1235106782 | Valley Surgery Center At Modesto, LLC | Clinic/Center | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 | 2006-03-03 |
1013480128 | Spine and Pain Treatment Medical Center of Santa Barbara Inc. | Clinic/Center | 1130 Coffee Rd Bldg 5, Modesto, CA 95355-4228 | 2019-01-11 |
1265859573 | Modesto Specialty Surgery Center, PC | Clinic/Center | 3105 Mchenry Ave, Modesto, CA 95350-1439 | 2014-03-25 |
1427474394 | Sylvan Surgical Center, LLC | Clinic/Center | 1524 Mchenry Ave, Suite 240, Modesto, CA 95350-4500 | 2014-03-14 |
1659542561 | Christopher F Amsden Md | Clinic/Center | 1524 Mchenry Ave Ste 470, Modesto, CA 95350-4572 | 2008-03-19 |
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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.