JEFFREY V. MERRIFIELD, D.D.S., INC. (NPI# 1295892115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295892115 |
| Entity Type | Organization |
| Organization Name | JEFFREY V. MERRIFIELD, D.D.S., INC. |
| Practice Address |
2664 Berryessa Rd Ste 116 San Jose CA 95132-2906 |
| Practice Telephone | 4088495333 |
| Practice Fax Number | 4089295780 |
| Mailing Telephone | 4088495333 |
| Mailing Fax Number | 4089295780 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFF MERRIFIELD (PRESTREAS) |
| Authorized Official Telephone | 4088495333 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
18736 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE DENTAL LICENSE | 18736 | 01 |
| Street Address |
2664 BERRYESSA RD STE 116 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95132-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902300304 | Pamela Judith Reyes | Technician, Other | 2716 Longford Drive, San Jose, CA 95132 | 2018-03-20 |
| 1972990778 | David Thai | Dentist | 2861 Donizetti Ct., San Jose, CA 95132 | 2015-04-20 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1023314325 | Al R Abad Dental Corporation | Dentist | 2664 Berryessa Road, Suite 212, San Jose, CA 95132 | 2011-02-03 |
| 1134355530 | Hang Thuy Tran | Student in an Organized Health Care Education/Training Program | 3314 Hostetter Road, San Jose, CA 95132 | 2009-06-01 |
| 1144408121 | Ruth Elaine Bristol | Marriage & Family Therapist | 3435 Birchwood, San Jose, CA 95132 | 2008-02-01 |
| 1033328398 | Victoria Bethina Andrada | Dentist | 2542 Berryessa Road, San Jose, CA 95132 | 2007-05-22 |
| 1417179540 | Albert G Seid Dds & Hubert G Seid Dds A Professional Corpation | Dentist | 1239 Piedmont Road, San Jose, CA 95132 | 2007-05-02 |
| 1336269554 | Fernando T Vilale | Dentist | 1333 Piedmont Rd#103, San Jose, CA 95132 | 2007-03-30 |
| 1669513172 | Roberto V Espejo Jr Dds Inc | Dentist | 3278 Noble Ave, San Jose, CA 95132 | 2007-02-08 |
| Find all providers in zip 95132 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758648 | Yan Kalika Dental Corporation | Dentist | 5130 Stevens Creek Blvd Ste B, San Jose, CA 95129-1019 | 2018-11-08 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1922330620 | Eric J Yokota | Dentist | 1688 Willow St., Suite E, San Jose, CA 95125 | 2010-02-04 |
| 1487894499 | Ramya Ramamurthy | Dentist | 750 N Capitol Ave Ste A1, San Jose, CA 95133-1902 | 2009-03-03 |
| 1265681365 | Gary Wallace Moss | Dentist | 1680 Westwood Dr Ste D, San Jose, CA 95125-5105 | 2008-09-12 |
| 1902027410 | Nava Fathi | Dentist | 2581 Samaritan Dr., Suite 110, San Jose, CA 95124 | 2007-05-01 |
| 1538261458 | Kelly Allyn Conlon | Dentist | 2000 Forest Ave, Suite D, San Jose, CA 95128-4831 | 2006-09-01 |
| 1982712741 | Jeffrey D. Krupp | Dentist | 3994 S Bascom Ave, #5, San Jose, CA 95124-2663 | 2006-08-29 |
| 1952418014 | Gurpreet Singh Narula | Dentist | 150 N Jackson Ave Ste 212, San Jose, CA 95116-1908 | 2006-08-24 |
| 1417316134 | David Chow Dds Apc | Dentist | 1680 Westwood Dr, Suite D, San Jose, CA 95125-5105 | 2016-02-23 |
| Find all providers in SAN JOSE | ||||
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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.