BRANCH DENTAL CLINIC IWAKUNI (NPI# 1194222760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194222760 |
| Entity Type | Organization |
| Organization Name | BRANCH DENTAL CLINIC IWAKUNI |
| Practice Address |
Psc 482 Box 1600 Fpo AP 96362-0017 |
| Practice Telephone | 2404013643 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL OKINAWA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
PSC 482 BOX 1600 |
| City | FPO |
| State | AP |
| Zip Code | 96362-0017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609854686 | Antony R Joseph | Audiologist | Psc 482 Box 1600, Dch Audiology Clinic, Fpo, AP 96362-0199 | 2006-01-09 |
| 1205456613 | Joven Beck Caguioa | Counselor | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2020-04-26 |
| 1093220030 | Branch Dental Clinic Camp Hansen | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2017-12-13 |
| 1295245884 | Julia Davis Vandrak | Physician Assistant | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2017-10-09 |
| 1922525153 | Brooke Basford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-08-28 |
| 1629506738 | Jessica Nicole Hafford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-06-02 |
| 1225578180 | Jessica Ann Jackson | Optometrist | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-02-26 |
| 1003246497 | John Knorek | Psychologist | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2013-11-20 |
| 1467683615 | Amy Suzanne Schuett | Physical Therapist | Psc 482 Box 1600, Us Naval Hospital Okinawa, Japan, Fpo, AP 96362-9998 | 2009-08-06 |
| 1497930135 | Branch Dental Clinic Kadena | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2007-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659838720 | Joshua Cobb | Occupational Therapist | Psc482, Fpo, AP 96362 | 2019-02-26 |
| 1154718203 | Tanesia Maul | Pharmacist | Psc 482 Box 52, Okinawa, OKINAWA 96362 | 2015-04-15 |
| 1144651118 | Robert Boyer | Pharmacist | Psc 482 Box 199, Fpo, AP 96362 | 2013-12-02 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1538325055 | Charles Christopher Stehman | Anesthesiology | Tarawa Rd, Camp Foster Building 960, Fpo, AP 96362 | 2008-08-04 |
| 1578740163 | Kelly Jo Cavanaugh | Speech-Language Pathologist | Psc 482 Box 3000, Fpo, AP 96362 | 2008-01-25 |
| 1215125109 | Courtney Lynn Stuursma | Physical Therapist | Usnh Okinawa, Department of Pt/ot, Psc 482, Fpo, AP 96362 | 2007-10-05 |
| 1982890299 | Mark Joseph Kane | Military Health Care Provider | Psc 482 Box 2948, Fpo Ap, Fpo, AP 96362 | 2007-09-20 |
| 1376739722 | Gary B. Hoyt | Military Health Care Provider | Psc 482 Box 2577, Fpo, AP 96362 | 2007-09-19 |
| 1801087721 | Richard Houston Blair | Audiologist | Psc 482 Box 206, Fpo, AP 96362 | 2007-08-06 |
| Find all providers in zip 96362 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220030 | Branch Dental Clinic Camp Hansen | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2017-12-13 |
| 1497930135 | Branch Dental Clinic Kadena | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2007-12-31 |
| 1689859324 | Branch Dental Clinic Camp Kinser | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2007-12-31 |
| 1033394770 | Branch Dental Clinic Camp Schwab | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2007-12-31 |
| 1407039795 | Naval Dental Clinic Okinawa | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2007-12-10 |
| 1790984714 | Branch Dental Clinic Futenma | Clinic/Center | Psc 482, Fpo, AP 96362 | 2007-07-11 |
| 1962608935 | Branch Dental Clinic Camp Courtney | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2007-06-26 |
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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.