DR. MELVYN D WILSON (NPI# 1265638092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265638092 |
| Entity Type | Individual |
| Full Name | DR. MELVYN D WILSON |
| Credential | D.D.S. |
| Practice Address |
8105 Edgewater Dr 122 Oakland CA 94621-2028 |
| Mailing Address |
39120 Argonaut Way 277 Fremont CA 94538-1304 |
| Practice Telephone | 5105005115 |
| Mailing Telephone | 5105753025 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
B30291 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE NUMBER | B30291 | 01 |
| Street Address |
8105 EDGEWATER DR 122 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94621-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073541777 | Hamid Amiri | Dentist | 8105 Edgewater Dr, Suite 124, Oakland, CA 94621-2028 | 2006-06-29 |
| 1942743745 | Danny's Home Health Care Inc. | Home Health | 8105 Edgewater Dr, Suite 102, Oakland, CA 94621-2028 | 2016-11-28 |
| 1700903622 | Syed Farid Akhtar | Dentist | 8105 Edgewater Dr, Oakland, CA 94621-2028 | 2007-03-24 |
| 1114088796 | Peter Disalvo | Optometrist | 8105 Edgewater Dr, Ste 1, Oakland, CA 94621-2028 | 2006-12-13 |
| 1235204306 | Bing-hong Bu | Dentist | 8105 Edgewater Dr, Suite 250, Oakland, CA 94621-2028 | 2006-11-22 |
| 1306910864 | Hans Facer | Dentist | 8105 Edgewater Dr, Suite 250, Oakland, CA 94621-2028 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734864 | Alameda Home Care & Hospice LLC | Home Health | 300 Pendleton Way Ste 328, Oakland, CA 94621 | 2017-11-17 |
| 1760931968 | Maria Martinez | Counselor | 8330 Birch St., Apt. A, Oakland, CA 94621 | 2016-09-28 |
| 1902231301 | East Bay Agencey for Children | Community/Behavioral Health | 1025 81st Ave, Oakland, CA 94621 | 2013-09-05 |
| 1710268016 | Srideep Chatterjee | Pharmacist | 8102 E 14 Th Street, Oakland, CA 94621 | 2011-08-31 |
| 1285953943 | Martin Pacheco | Counselor | 333 Hegenberger Road #600, Oakland, CA 94621 | 2010-05-20 |
| 1821234816 | Raul Mark Miranda Grageda | Physical Therapist | 7817 Oakport Street, Oakland, CA 94621 | 2008-12-23 |
| 1306032156 | Adrienne Claire Lopez Tiley | Counselor | 401 Roland Way Suite 100, Oakland, CA 94621 | 2007-09-14 |
| 1609067610 | Sandra Gaspar | Marriage & Family Therapist | 410 Roland Way. Suite 100, Oakland, CA 94621 | 2007-08-05 |
| 1053512608 | Ellis W. Jones | Counselor | 7501 International Blvd., Oakland, CA 94621 | 2007-05-30 |
| 1851507016 | Keith Reese | Social Worker | 1933-57 Th Avenue, Oakland, CA 94621 | 2007-05-15 |
| Find all providers in zip 94621 | ||||
| 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 |
|---|---|---|---|---|
| 1386253383 | Caroline Kim | Dentist | 1833 Brandon St, Oakland, CA 94611-4306 | 2020-07-24 |
| 1043879653 | Lawrence Wong | Dentist | 3300 Webster St Ste 907, Oakland, CA 94609-3156 | 2019-06-07 |
| 1013480169 | Cynthia L. Cox, D.d.s., Inc. | Dentist | 485 34th St Ste 210, Oakland, CA 94609-2823 | 2019-01-10 |
| 1275051575 | Christopher Thomas D.d.s. Inc. | Dentist | 1716 Telegraph Ave, Oakland, CA 94612-2108 | 2017-09-07 |
| 1396273694 | Homero A. Mak Dds, Inc | Dentist | 8105 Edgewater Dr Ste 122, Oakland, CA 94621-2019 | 2017-05-31 |
| 1174060800 | Philip P Chan | Dentist | 1624 Franklin St Ste 910, Oakland, CA 94612-2824 | 2017-01-19 |
| 1780135442 | Vincent Wong, Dds, A Professional Dental Corporation | Dentist | 3320 Webster St, Oakland, CA 94609-3105 | 2016-10-18 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| 1154798866 | Heather Hong Dinh | Dentist | 2007 E 17th St, Oakland, CA 94606-4603 | 2015-08-28 |
| 1396121828 | Oakland Eco Dental | Dentist | 2838 Summit St, Oakland, CA 94609-3605 | 2015-08-06 |
| Find all providers in OAKLAND | ||||
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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.