FAMILY DENTISTRY MARINA MANOSOV DDS INC (NPI# 1245584218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245584218 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTISTRY MARINA MANOSOV DDS INC |
| Practice Address |
4646 El Camino Real Los Altos CA 94022-1329 |
| Practice Telephone | 6503835599 |
| Mailing Telephone | 6503835599 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | DR. MARINA MANOSOV (OWNER) |
| Authorized Official Telephone | 6503835599 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
4646 EL CAMINO REAL |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94022-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956308 | Ronen Manosov | Dentist | 4646 El Camino Real, Los Altos, CA 94022-1329 | 2018-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992290779 | Christine Hur | Optometrist | 4906 El Camino Real Ste B, Los Altos, CA 94022 | 2018-06-25 |
| 1386181709 | Xin Xia | Acupuncturist | 900 N San Antonio Rd Ste 103, Los Altos, CA 94022 | 2017-01-23 |
| 1083089494 | Catherine Constance Athens | Psychologist | 303 First St, Los Alto, CA 94022 | 2015-12-10 |
| 1952787475 | Tanya M. Gulevich | Marriage & Family Therapist | 146 Main St #215, Los Altos, CA 94022 | 2015-08-06 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1689096323 | Christine Stephanos | Pharmacist | 255 Second Street, Los Altos, CA 94022 | 2014-01-15 |
| 1316289044 | Isaac Ho | Student in an Organized Health Care Education/Training Program | 12696 La Cresta Drive, Los Altos Hills, CA 94022 | 2013-03-20 |
| 1144570698 | Julie Chayt Scott | Nutritionist | 395 Main Street, Los Altos, CA 94022 | 2012-09-12 |
| 1730454455 | Vincent Peter Zarcone Jr. | Psychiatry & Neurology | 227 Verano Dr, Los Altos, CA 94022 | 2012-03-13 |
| 1841561545 | Charles John Martell | Preventive Medicine | 19 Bay Tree Lane, Los Altos, CA 94022 | 2012-01-26 |
| Find all providers in zip 94022 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346686706 | William Ray Bares | Dentist | 1071 Laureles Dr, Los Altos, CA 94022-1011 | 2013-05-13 |
| 1073887485 | Curtis Ken Miyahara | Dentist | 129 Second Street, Los Altos, CA 94022-2745 | 2012-03-02 |
| 1740422831 | Surbhi Jindal | Dentist | 981 Lundy Ln, Los Altos, CA 94024-5934 | 2009-04-03 |
| 1023265071 | Kevin Brewster Sawyer | Dentist | 646 Los Altos Rancho, Los Altos, CA 94024-4942 | 2008-08-21 |
| 1285890368 | Neilesh Shashikant Patel | Dentist | 595 Loyola, Los Altos, CA 94024 | 2008-07-29 |
| 1194989640 | Ardeshir N. Salem | Dentist | 925 N San Antonio Rd, Los Altos, CA 94022-1308 | 2008-07-14 |
| 1760548713 | Susan Ezzati | Dentist | 881 Fremont Ave Ste B1, Los Altos, CA 94024-5637 | 2006-12-27 |
| 1386759785 | Neal J. Smith | Dentist | 350 2nd St, Suite #3, Los Altos, CA 94022-3695 | 2006-08-19 |
| 1063623536 | Irene Ching-ping Tan | Dentist | 851 Fremont Ave, Suite 101, Los Altos, CA 94024-5698 | 2007-05-25 |
| 1184846941 | Yolanda Wai | Dentist | 763 Altos Oaks Dr, Suite 3, Los Altos, CA 94024-5496 | 2007-05-02 |
| Find all providers in LOS ALTOS | ||||
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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.