SCOTT RECKSIEDLER (NPI# 1407148216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407148216 |
| Entity Type | Individual |
| Full Name | SCOTT RECKSIEDLER |
| Credential | D.M.D. |
| Practice Address |
8860 Center Dr Suite 460 La Mesa CA 91942-3068 |
| Practice Telephone | 6194633773 |
| Practice Fax Number | 6194631272 |
| Mailing Telephone | 6194633773 |
| Mailing Fax Number | 6194631272 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2015-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
60747 | CA | Dental Providers |
| Street Address |
8860 CENTER DR SUITE 460 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561692 | Robert Edward Bushman | Dermatology | 8860 Center Dr, Ste 300, La Mesa, CA 91942-3068 | 2005-07-12 |
| 1598137184 | Mccormack Dental Imaging | Dental Laboratory | 8860 Center Dr, Ste. 340, La Mesa, CA 91942-3068 | 2015-10-22 |
| 1982000816 | Lindsay Marie Warner | Nurse Practitioner | 8860 Center Dr, Suite 210, La Mesa, CA 91942-3068 | 2014-11-04 |
| 1467876771 | Joyce M Mancini | Nurse Practitioner | 8860 Center Dr, Ste 320, La Mesa, CA 91942-7001 | 2014-02-06 |
| 1427378363 | Barzan Mohedin, Md, A Professional Corporation | Internal Medicine | 8860 Center Dr, Suite 310, La Mesa, CA 91942-3068 | 2010-06-02 |
| 1295963460 | Firas Alhaddad | Internal Medicine | 8860 Center Dr, #240, La Mesa, CA 91942-3068 | 2009-06-26 |
| 1760626477 | Hassan Kafri Md, Inc. | Internal Medicine | 8860 Center Dr, Suite 320, La Mesa, CA 91942-3068 | 2009-04-24 |
| 1881847044 | Brian Terumi Nagai | Dentist | 8860 Center Dr, Suite 430, La Mesa, CA 91942-3068 | 2008-10-30 |
| 1497931380 | Christopher V Crosby | Dermatology | 8860 Center Dr, Suite 300, La Mesa, CA 91942-3068 | 2008-01-10 |
| 1982829800 | Kaveh Bagheri, Md Incorporated | Specialist | 8860 Center Dr, Suite 240, La Mesa, CA 91942-7000 | 2007-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467839506 | Alex Matosian | Dentist | 8851 Center Dr, Suite 301, La Mesa, CA 91942-3017 | 2015-04-28 |
| 1023334711 | Peter F Johnson Dmd A Professional Corporation | Dentist | 5565 Grossmont Center Dr, Suite 110-1, La Mesa, CA 91942-3020 | 2010-04-20 |
| 1568679694 | Richard Marc Feinberg | Dentist | 5565 Grossmont Center Dr, Suite #257, Bld. #3, La Mesa, CA 91942-3020 | 2007-05-17 |
| 1215047469 | Harold J Gulbransen | Dentist | 8860 Center Dr, Suite #460, La Mesa, CA 91942-3068 | 2006-08-30 |
| 1518907658 | Peter Fink Johnson | Dentist | 5565 Grossmont Center Dr, Suite 1-110, La Mesa, CA 91942-3020 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
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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.