DR. RICHARD CARL RISSEL (NPI# 1245237023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245237023 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CARL RISSEL |
| Credential | D.M.D. |
| Practice Address |
2875 Willow Pass Rd Concord CA 94519-2553 |
| Practice Telephone | 9256892800 |
| Practice Fax Number | 9256892310 |
| Mailing Telephone | 9256892800 |
| Mailing Fax Number | 9256892310 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
26516 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | B26516-01 | 01 |
| Street Address |
2875 WILLOW PASS RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94519-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588818363 | Jason M. Renner Dds Apc | Dentist | 2875 Willow Pass Rd, Concord, CA 94519-2553 | 2008-11-06 |
| 1942416441 | Jason Marlow Renner | Dentist | 2875 Willow Pass Rd, Concord, CA 94519-2553 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
| 1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
| 1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
| Find all providers in zip 94519 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469808 | David E Thome Dds Pllc Ix | Dentist | 5641 Poplar Tent Rd Ste 201, Concord, NC 28027-7588 | 2019-10-25 |
| 1033521455 | Concord Children's Dental Associates | Dentist | 290 Baker Ave Ste S200, Concord, MA 01742-2191 | 2014-05-21 |
| 1841419728 | Donald C. Schmitt, Dds & Rinku S. Saini, Dds Inc. | Dentist | 2879 Willow Pass Rd, Concord, CA 94519-2553 | 2007-04-25 |
| 1245633650 | Kerry A. Dove, Dmd Ms, Pllc | Dentist | 5641 Poplar Tent Rd, Concord, NC 28027-7533 | 2014-09-30 |
| 1255749644 | Don Do | Dentist | 1126 Meadow Ln, Concord, CA 94520-3706 | 2014-07-29 |
| 1588818363 | Jason M. Renner Dds Apc | Dentist | 2875 Willow Pass Rd, Concord, CA 94519-2553 | 2008-11-06 |
| 1306002225 | Amy Marie Brandon | Dentist | 1255 Willow Pass Rd, Concord, CA 94520-5218 | 2008-07-30 |
| 1548474711 | Randall R Wiley | Dentist | 2879 Willow Pass Rd, Concord, CA 94519-2553 | 2007-05-09 |
| 1629282801 | Donald C Schmitt | Dentist | 2879 Willow Pass Rd, Concord, CA 94519-2553 | 2007-05-09 |
| 1841356417 | Mingchun Chien | Dentist | 290 Baker Ave, Suite S-200, Concord, MA 01742-2189 | 2006-12-28 |
| Find all providers in CONCORD | ||||
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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.