DR. COLBY ALBERT MEEDER (NPI# 1396165965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396165965 |
| Entity Type | Individual |
| Full Name | DR. COLBY ALBERT MEEDER |
| Credential | DMD |
| Practice Address |
10020 Gallatin Rd Red Bluff CA 96080-9432 |
| Mailing Address |
3308 Dodd Dr Chesapeake VA 23323-1337 |
| Practice Telephone | 7025404404 |
| Mailing Telephone | 7025404404 |
| Mailing Fax Number | 7025404404 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
103556 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401414845 | VA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2165 Cunningham Dr, Hampton, VA 236662569 | 7573259766 |
| Street Address |
10020 GALLATIN RD |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-9432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| 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 |
|---|---|---|---|---|
| 1942345251 | Randal Stuart Elloway | Dentist | 2426 S Main St, Red Bluff, CA 96080-4337 | 2007-02-21 |
| 1609940808 | Bruce Wheeler Jr. | Dentist | 945 Hickory Street, Red Bluff, CA 96080-3214 | 2006-11-20 |
| 1508956012 | Paul Randall Moon | Dentist | 2060 Main St, Red Bluff, CA 96080-2373 | 2006-10-13 |
| 1356448377 | Willem Simon Christiaan Van Opijnen | Dentist | 445 Elm St, Red Bluff, CA 96080-3403 | 2006-09-20 |
| 1245340306 | William James Goodin | Dentist | 2150 Main St Ste 1, Red Bluff, CA 96080-2372 | 2006-08-30 |
| 1689688350 | William Jeffrey Moore | Dentist | 1010 Jefferson St, Red Bluff, CA 96080-2726 | 2006-07-28 |
| 1891788345 | Randall Ted Taylor | Dentist | 343 Oak St, Red Bluff, CA 96080-3304 | 2005-08-30 |
| 1093715393 | Skiff Eugene Peters | Dentist | 848 Johnson St, Red Bluff, CA 96080-3257 | 2005-07-28 |
| 1760481436 | Susanne Ursuala Whalen | Dentist | 1023 Washington St, Red Bluff, CA 96080-2746 | 2005-07-15 |
| 1164036984 | Tanya Varimezova | Dentist | 343 Oak St, Red Bluff, CA 96080-3304 | 2020-08-31 |
| Find all providers in RED BLUFF | ||||
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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.