C-DENTAL X-RAY, INC. (NPI# 1245606847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245606847 |
| Entity Type | Organization |
| Organization Name | C-DENTAL X-RAY, INC. |
| Practice Address |
362 W Portal Ave San Francisco CA 94127-1412 |
| Mailing Address |
450 Sutter St Ste. 1542 San Francisco CA 94108-4206 |
| Practice Telephone | 4157538701 |
| Mailing Telephone | 4154211389 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MR. JEROME N PECK (CEO) |
| Authorized Official Telephone | 6502076209 |
| Authorized Official Credential | DLXT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | RHP00053519 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757696 | C-dental X-ray, Inc. | Dental Laboratory | 1475 Cedarwood Ln, Ste. D, Pleasanton, CA 94566-6153 | 2015-08-14 |
| 1609242205 | C-dental X-ray, Inc. | Dental Laboratory | 1050 Northgate Dr, Ste. 110, San Rafael, CA 94903-2526 | 2015-08-18 |
| 1356717953 | C-dental X-ray, Inc. | Dental Laboratory | 450 Sutter St, Ste. 1542, San Francisco, CA 94108-4206 | 2015-08-18 |
| 1477929313 | C-dental X-ray, Inc. | Dental Laboratory | 3535 Ross Ave, Bldg II Ste. 208, San Jose, CA 95124-3054 | 2015-08-14 |
| 1821464769 | C-dental X-ray, Inc. | Dental Laboratory | 505 South Dr, Ste. 7, Mountain View, CA 94040-4212 | 2015-08-14 |
| 1295101137 | C-dental X-ray, Inc. | Dental Laboratory | 5150 Graves Ave, Ste. 8d, San Jose, CA 95129-5013 | 2015-08-14 |
| 1639555105 | C-dental X-ray, Inc. | Dental Laboratory | 695 Oak Grove Ave, Ste. 330, Menlo Park, CA 94025-4351 | 2015-08-06 |
| Street Address |
362 W PORTAL AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356717953 | C-dental X-ray, Inc. | Dental Laboratory | 450 Sutter St, Ste. 1542, San Francisco, CA 94108-4206 | 2015-08-18 |
| 1093777278 | Pacific Oral Pathology Laboratory | Dental Laboratory | 155 5th St, San Francisco, CA 94103-2919 | 2006-04-04 |
| 1336101583 | Oral Pathology Laboratory Ucsf School of Dentistry | Dental Laboratory | 513 Parnassus Ave, San Francisco, CA 94143-2205 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972074367 | Prosomnus Sleep Technologies Inc. | Dental Laboratory | 5860 W Las Positas Blvd Ste 25, Pleasanton, CA 94588-8557 | 2018-12-10 |
| 1982192290 | Dj Dental Lab Inc | Dental Laboratory | 700 N Valley St Ste F-g, Anaheim, CA 92801-3824 | 2018-04-23 |
| 1427587724 | California Dental Arts, LLC | Dental Laboratory | 20421 Pacifica Dr, Cupertino, CA 95014-3013 | 2017-06-08 |
| 1366807950 | C-dental X-ray, Inc | Dental Laboratory | 1900 Olympic Blvd, Ste. 201, Walnut Creek, CA 94596-5037 | 2015-12-23 |
| 1932576220 | Dental Digital Design | Dental Laboratory | 17781 Sky Park Cir # D, Irvine, CA 92614-6103 | 2015-08-21 |
| 1750757696 | C-dental X-ray, Inc. | Dental Laboratory | 1475 Cedarwood Ln, Ste. D, Pleasanton, CA 94566-6153 | 2015-08-14 |
| 1639588205 | John Bilder Fund Billingsworth Lab | Dental Laboratory | 7202 Greenleaf Ave, 13303 Philadelphia St, Whittier, CA 90602-1312 | 2014-08-08 |
| 1588915615 | Usc Redmond Imaging Center | Dental Laboratory | 925 W 34th St Ste 319, Los Angeles, CA 90089-0641 | 2012-09-28 |
| 1134493943 | Mike's Dental Lab | Dental Laboratory | 1735 Professional Drive, Sacramento, CA 95825 | 2012-02-27 |
| 1467734491 | Brockton Dental X-ray Lab., Inc. | Dental Laboratory | 6800 Brockton Ave Ste 3, Riverside, CA 92506-3810 | 2011-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
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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.