DR. DRAAK DAVIS FAMILY DENTAL (NPI# 1417371345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417371345 |
| Entity Type | Organization |
| Organization Name | DR. DRAAK DAVIS FAMILY DENTAL |
| Practice Address |
1624 Franklin St Suite 1206 Oakland CA 94612-2897 |
| Practice Telephone | 5104655555 |
| Practice Fax Number | 5108368799 |
| Mailing Telephone | 5104655555 |
| Mailing Fax Number | 5108368799 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |
| Authorized Official Name | DRAAK KARRAS DAVIS (OWNER) |
| Authorized Official Telephone | 5104655555 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 60565 | CA | Managed Care Organizations |
| Street Address |
1624 FRANKLIN ST SUITE 1206 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085194 | Brian Binh Trinh | Dentist | 1624 Franklin St, Ste 910, Oakland, CA 94612-2824 | 2005-06-30 |
| 1346693017 | Anandika Aggarwal | Dentist | 1624 Franklin St, Suite 615, Oakland, CA 94612-2897 | 2016-07-19 |
| 1710283833 | Eric Anthony Lim | Dentist | 1624 Franklin St, Suite #410, Oakland, CA 94612-2897 | 2011-02-07 |
| 1902067747 | Midori Betty Tachibana | Dentist | 1624 Franklin St, Suite 1220, Oakland, CA 94612-2897 | 2008-06-24 |
| 1881882660 | James Lester Weaver Jr. | Dentist | 1624 Franklin St, Suite 320, Oakland, CA 94612-2882 | 2007-10-05 |
| 1750595567 | Richard H. Mogensen Dds Apc | Dentist | 1624 Franklin St, Suite 1206, Oakland, CA 94612-2824 | 2007-05-10 |
| 1154449395 | Romeo Reyes Aquino | Dentist | 1624 Franklin St, Suite 405, Oakland, CA 94612 | 2007-03-26 |
| 1326170770 | Tong Woo Lee | Dentist | 1624 Franklin St, Suite 1005, Oakland, CA 94612-2897 | 2007-03-12 |
| 1316073927 | Lawrence Shih | Dentist | 1624 Franklin St, Suite 1010, Oakland, CA 94612-2897 | 2007-02-26 |
| 1699825679 | Robert Charles Golden | Dentist | 1624 Franklin St, Suite 1205, Oakland, CA 94612 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1578933552 | Health 101 Chiropractic and Nutrition | Preferred Provider Organization | 399 Grand Ave, Oakland, CA 94610-4825 | 2015-10-02 |
| 1790193209 | Symmetry Health Center | Preferred Provider Organization | 6239 College Ave, Oakland, CA 94618-1329 | 2014-07-28 |
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| 1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
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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.