KIMMER E. YOUNG D.D.S. DENTAL CORPORATION (NPI# 1306317755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306317755 |
| Entity Type | Organization |
| Organization Name | KIMMER E. YOUNG D.D.S. DENTAL CORPORATION |
| Practice Address |
2401 W Cleveland Ave Madera CA 93637-3608 |
| Practice Telephone | 5596734075 |
| Mailing Telephone | 5599706188 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | KIMMER E YOUNG (OWNER) |
| Authorized Official Telephone | 5596734075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2401 W CLEVELAND AVE |
| City | MADERA |
| State | CA |
| Zip Code | 93637-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255393955 | Fogg, Maxwell & Lanier, M.d., Inc. | Optometrist | 2401 W Cleveland Ave, Madera, CA 93637-3608 | 2006-04-06 |
| 1356649198 | Gagandeep Singh Sidhu | Dentist | 2401 W Cleveland Ave, Madera, CA 93637-3608 | 2011-03-03 |
| 1992768238 | Fogg, Maxwell & Lanier, M.d., Inc. | Ophthalmology | 2401 W Cleveland Ave, Madera, CA 93637-3608 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
| 1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
| 1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
| 1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
| 1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
| 1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
| 1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
| Find all providers in zip 93637 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181851 | Bayrakdarian Madera, D.m.d., Inc., A Professional Dental Corporation | Clinic/Center | 2377 W Cleveland Ave Ste 101, Madera, CA 93637-8754 | 2020-10-12 |
| 1457864373 | Cu Tu Lu, Dds Inc. A Professional Dental Corp. | Clinic/Center | 515 E Yosemite Ave, Madera, CA 93638-3334 | 2017-11-14 |
| 1235406331 | Madera Kids Dental World | Clinic/Center | 2295 W Cleveland Ave Ste D, Madera, CA 93637-8723 | 2011-11-18 |
| 1346890977 | Dental Group of Saleem and Alfroukh | Clinic/Center | 121 N I St, Madera, CA 93637-4408 | 2019-09-16 |
| 1396254991 | Nahideh Shojaei Dds, PC | Clinic/Center | 475 E Almond Ave Ste 103, Madera, CA 93637-5750 | 2017-09-26 |
| 1538550660 | J.r. Wiens Dds, Inc. | Clinic/Center | 615 N I St, Madera, CA 93637-3075 | 2015-02-11 |
| 1174929632 | John R. Wiens Dds, Inc. | Clinic/Center | 615 N I St, Madera, CA 93637-3075 | 2014-11-11 |
| 1518368364 | Muna Almoayad, Dds, Inc | Clinic/Center | 500 E Almond Ave, Suite 3, Madera, CA 93637-5600 | 2014-09-11 |
| 1477796373 | Aqib Mudassar D.d.s Inc | Clinic/Center | 475 E Almond Ave Ste 103, Madera, CA 93637-5750 | 2009-04-08 |
| 1265618508 | Dawn Z Power Dental Inc | Clinic/Center | 950 E Almond Ave Ste 102, Madera, CA 93637-5694 | 2008-01-17 |
| Find all providers in MADERA | ||||
Please comment or provide details below to improve the information on KIMMER E. YOUNG D.D.S. DENTAL CORPORATION.
| 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.