DR. DANIEL VINCENT CLEVENGER (NPI# 1215977210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215977210 |
| Entity Type | Individual |
| Full Name | DR. DANIEL VINCENT CLEVENGER |
| Credential | DDS |
| Practice Address |
675 Mariners Island Blvd #105 San Mateo CA 94404 |
| Practice Telephone | 6503455711 |
| Practice Fax Number | 6503455780 |
| Mailing Telephone | 6503455711 |
| Mailing Fax Number | 6503455780 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35701 | CA | Dental Providers |
| Street Address |
675 MARINERS ISLAND BLVD #105 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497235709 | Kathleen Clare Tamm | Marriage & Family Therapist | 716 Coronado Lane, Foster City, CA 94404 | 2018-08-16 |
| 1699126128 | Pooja Dhir | Chiropractor | 951 Edgewater Boulevard, Suite B, Foster City, CA 94404 | 2016-06-27 |
| 1043670441 | Charlene Hsiaoching Chang | Nurse Practitioner | 987 E Hillsdale Blvd # 9879, Foster City, CA 94404 | 2016-02-26 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1538594452 | Marie-josee Landry | Dentist | 581, Foster City Blvd, Foster City, CA 94404 | 2013-09-10 |
| 1184963852 | Jerome Nillo | Physical Therapist | 1049 Foster City Blvd., Apt C, Foster City, CA 94404 | 2013-01-31 |
| 1710230826 | Ascend Genomics, LLC | Pathology | 320 Hatch Dr, Foster City, CA 94404 | 2012-10-26 |
| 1962753533 | Qiong Chen | Acupuncturist | 885 Balboa Ln, Foster City, CA 94404 | 2012-09-24 |
| 1518226968 | Elham Attari | Physical Therapist | 808 Cortez Ln, Foster City, CA 94404 | 2012-05-04 |
| 1437451861 | Thalia Maryam Farshchian | Naturopath | 1098 Foster City Blvd Suite 305, Foster City, CA 94404 | 2010-11-17 |
| Find all providers in zip 94404 | ||||
| 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 |
|---|---|---|---|---|
| 1316553431 | Eveline Junaedy-tong | Dentist | 1367 Bel Aire Rd, San Mateo, CA 94402-3616 | 2020-09-23 |
| 1720602444 | Annabel S. Koa, Dmd Inc | Dentist | 400 N San Mateo Dr Ste 2, San Mateo, CA 94401-2418 | 2020-05-29 |
| 1639644859 | Brian Lee | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2018-10-04 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1205215795 | Sonrisas Dental Health, Inc. | Dentist | 430 No. El Camino Real, San Mateo, CA 94401-3710 | 2015-05-29 |
| 1023427606 | Katarina Tu | Dentist | 730 Mariners Island Blvd, Apt 37, San Mateo, CA 94404-1553 | 2014-08-07 |
| 1700211000 | Travis David Wu | Dentist | 33 Weepingridge Ct, San Mateo, CA 94402-3731 | 2013-09-05 |
| 1497099253 | Sahar Aurangzeb | Dentist | 19 W 39th Ave, San Mateo, CA 94403-4593 | 2012-11-19 |
| 1326318197 | Theresa Nina Scopazzi | Dentist | 36 N San Mateo Dr Ste C, San Mateo, CA 94401-4523 | 2012-01-10 |
| Find all providers in SAN MATEO | ||||
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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.