DR. DONALD RICHARD VAN BIBBER (NPI# 1225062417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225062417 |
| Entity Type | Individual |
| Full Name | DR. DONALD RICHARD VAN BIBBER |
| Credential | D.D.S. |
| Practice Address |
2020 Coffee Rd Suite J4 Modesto CA 95355-2427 |
| Practice Telephone | 2095264560 |
| Practice Fax Number | 2095264577 |
| Mailing Telephone | 2095264560 |
| Mailing Fax Number | 2095264577 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20283 | CA | Dental Providers |
| Street Address |
2020 COFFEE RD SUITE J4 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107438 | Kathleen S. Rawe | Pharmacy | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2005-10-10 |
| 1063772846 | Charles Wickersham | Pharmacist | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2012-05-25 |
| 1326326281 | Raymond Nepomuceno | Dentist | 2020 Coffee Rd, Suite B-4, Modesto, CA 95355-2427 | 2011-07-26 |
| 1275786733 | Kim Tran Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2008-10-28 |
| 1770772287 | Daniel T. Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2007-10-20 |
| 1023217999 | Lavedita Levette Parker | Dentist | 2020 Coffee Rd, Suite E, Modesto, CA 95355-2427 | 2007-07-12 |
| 1851502793 | Yvonne Marie Mcloughlin | Marriage & Family Therapist | 2020 Coffee Rd, Suite H-4, Modesto, CA 95355-2427 | 2007-05-24 |
| 1194943035 | Trinh Mai Ngoc Vo | Dentist | 2020 Coffee Rd, A-4, Modesto, CA 95355-2427 | 2007-04-24 |
| 1104049386 | Kristi Abigail Carson | Massage Therapist | 2020 Coffee Rd, Ste. D-3, Modesto, CA 95355-2427 | 2007-04-10 |
| 1164544698 | Jerold Rosenthal | Marriage & Family Therapist | 2020 Coffee Rd, H-6, Modesto, CA 95355-2427 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| 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 |
|---|---|---|---|---|
| 1639658305 | Rigel Smart | Dentist | 103 Mchenry Ave, Modesto, CA 95354-0541 | 2018-08-13 |
| 1801373220 | Nan Xiang | Dentist | 2217 Coffee Rd # A, Modesto, CA 95355-2307 | 2018-07-27 |
| 1699261495 | Kwang Min Lim | Dentist | 1429 College Ave Ste D, Modesto, CA 95350-4046 | 2018-07-03 |
| 1558872077 | Franklin Cordero Dmd, Inc. | Dentist | 1207 14th St, Modesto, CA 95354-1005 | 2017-10-24 |
| 1083130538 | Misty Autumn Henne-bhullar | Dentist | 3219 Mchenry Ave, Modesto, CA 95350-1457 | 2017-08-16 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1811352404 | Chahal Dental Corporation | Dentist | 2217 Coffee Rd, Suite A, Modesto, CA 95355-2307 | 2015-12-23 |
| 1366839755 | Hillock Family Dental Inc. | Dentist | 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 | 2015-04-23 |
| 1548608425 | Ajaykumar N Patel | Dentist | 3430 Tully Rd Ste 21, Modesto, CA 95350-0840 | 2013-06-12 |
| 1992054308 | Satyen Desai Dental Corporation | Dentist | 1404 Mitchell Rd., Modesto, CA 95351-4948 | 2012-08-30 |
| Find all providers in MODESTO | ||||
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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.