DR. MICHAEL JAY RAIZEN (NPI# 1417951781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417951781 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAY RAIZEN |
| Credential | D.D.S. |
| Practice Address |
600 W 3rd St Mansfield OH 44906-2633 |
| Practice Telephone | 4195221939 |
| Mailing Telephone | 4195221939 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2010-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22695 | OH | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
106233 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02062339 | 05 |
| Street Address |
600 W 3RD ST |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788417 | Robyn Stone | Family Medicine | 600 W 3rd St, Mansfield, OH 44906-2633 | 2020-07-28 |
| 1134618978 | Bryce Steindl | Dentist | 600 W 3rd St, Mansfield, OH 44906 | 2018-05-08 |
| 1386153971 | Amani Alsaery | Dentist | 600 W 3rd St, Mansfield, OH 44906-2633 | 2017-09-26 |
| 1417489725 | Danielle Kreais | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2017-03-28 |
| 1215475462 | Young Mi Britton | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2017-02-08 |
| 1609327378 | Kristin Elyse Cooper | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-10-18 |
| 1144778499 | Courtney Brooks | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-09-15 |
| 1144778754 | Emily Bowman | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-09-13 |
| 1871944108 | Jennifer Schroeder | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-06-28 |
| 1093179236 | Heather Johnson | Social Worker | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1457992828 | Mansfield Modern Dentistry, PC | Dentist | 287 School St Ste 120, Mansfield, MA 02048-1850 | 2019-10-07 |
| 1457828493 | Soh of Texas Samson Liu Pllc | Dentist | 2170 Matlock Rd, Mansfield, TX 76063-3814 | 2018-10-29 |
| 1336614924 | Dentists of Mansfield PC | Dentist | 2891 Matlock Rd Ste 101, Mansfield, TX 76063-5383 | 2018-10-10 |
| 1700307014 | Margaret Hirsch | Dentist | 747 Highway 287 N Ste A, Mansfield, TX 76063-2619 | 2017-06-28 |
| 1295288892 | Rachel Todd | Dentist | 1809 Yarmouth Ln, Mansfield, TX 76063-2900 | 2016-07-31 |
| 1548656978 | Janice Hernandez | Dentist | 3806 E Broad St Ste 108, Mansfield, TX 76063-5621 | 2015-04-13 |
| 1619316866 | Jonathan Adam Wilson | Dentist | 425 W Cook Rd, Mansfield, OH 44907-2300 | 2013-06-20 |
| 1275979981 | P'jay Merrell | Dentist | 3302 Richmond Circle, Mansfield, TX 76063-5187 | 2013-05-21 |
| 1114273430 | Daniel Nnadiugwu Nnadiugwu | Dentist | 1521 E Debbie Ln, Mansfield, TX 76063-3341 | 2012-07-25 |
| Find all providers in MANSFIELD | ||||
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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.