PERES DENTAL CLINIC (NPI# 1306274147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306274147 |
| Entity Type | Organization |
| Organization Name | PERES DENTAL CLINIC |
| Practice Address |
719 5th St Richmond CA 94801-2654 |
| Practice Telephone | 5102311407 |
| Mailing Telephone | 5102311407 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Authorized Official Name | JAWAN ELDRIDGE (PRINCIPAL) |
| Authorized Official Telephone | 5102311407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
719 5TH ST |
| City | RICHMOND |
| State | CA |
| Zip Code | 94801-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942763826 | Bay Area Community Resources | Community/Behavioral Health | 719 5th St, Richmond, CA 94801-2654 | 2019-04-09 |
| 1962749861 | Peres Elementary School | Dentist | 719 5th St, Richmond, CA 94801-2654 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815082 | Denise Carey | Social Worker | 900 Nevin, Richmond, CA 94801 | 2018-06-14 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1780100479 | Daniel Chen | Dentist | 520 Seacliff Pl, Richmond, CA 94801 | 2017-08-15 |
| 1790043347 | Kanwal Ambar Merchant | Pediatrics | 150 Harbor Way, Richmond, CA 94801 | 2012-05-01 |
| 1114182607 | Christopher Gibney | Acupuncturist | 723 Western Drive, Richmond, CA 94801 | 2008-07-23 |
| 1134320732 | Beverly Jo Skipper | Technician/Technologist | 322 Harbour Way, Suite 2, Richmond, CA 94801 | 2007-05-30 |
| 1306058383 | Judy S. Chin | Acupuncturist | 139 W. Richmond Ave., Suite 7, Pt. Richmond, CA 94801 | 2007-05-04 |
| 1720154636 | Marianne Philippek | Nurse Practitioner | 901 Nevin Avenue, Richmond, CA 94801 | 2006-11-24 |
| 1578645511 | Bridget Grace Moran | Registered Nurse | 901nevin Ave, Building C, 2nd Floor, Richmond, CA 94801 | 2006-10-19 |
| 1891875654 | Phyllis W. Zisman | Pharmacist | Kaiser Foundation Hospital, 901 Nevin Ave., Richmond, CA 94801 | 2006-10-16 |
| Find all providers in zip 94801 | ||||
| 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 |
|---|---|---|---|---|
| 1740801000 | Tamara Lin | Dentist | 5116 Mulligan Ct, Richmond, CA 94806-5898 | 2020-04-28 |
| 1699394916 | Caitlin Suzanne Shannon | Dentist | 2519 E Main St Ste 102, Richmond, IN 47374-5869 | 2020-04-16 |
| 1982247953 | Benjamin Crowley, Dds PC | Dentist | 6808 Stoneman Rd, Richmond, VA 23228-2744 | 2019-10-23 |
| 1326695339 | New Era Healthcare Inc. | Dentist | 6300 Oak Middle Ct Apt 104, Richmond, VA 23231-4872 | 2019-08-23 |
| 1770145617 | Morgan Worley | Dentist | 4818 Waterview Town Center Dr Ste 100, Richmond, TX 77407-2384 | 2019-07-01 |
| 1083188908 | Richmond Pediatric Dentistry and Orthodontics | Dentist | 8503 Patterson Ave Ste G, Richmond, VA 23229-6442 | 2019-01-14 |
| 1699254318 | Blvd Dentistry Richmond Pllc | Dentist | 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 | 2018-08-13 |
| 1083190011 | Kayla Marie Roe | Dentist | 6605 W Broad St Ste 105, Richmond, VA 23230-1714 | 2018-07-12 |
| 1376037341 | Adrienne Lashae Childress | Dentist | 4095 Atwood Dr Ste A, Richmond, KY 40475-8325 | 2018-06-21 |
| 1023509908 | Richmond City Dentistry | Dentist | 1517 W Broad St, Richmond, VA 23220-3016 | 2018-05-25 |
| Find all providers in RICHMOND | ||||
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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.