DR. EDWARD J BECKER (NPI# 1417979972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417979972 |
| Entity Type | Individual |
| Full Name | DR. EDWARD J BECKER |
| Credential | D.D.S. |
| Practice Address |
15600 Washington Ave Ste. A San Lorenzo CA 94580-1467 |
| Practice Telephone | 5102767124 |
| Practice Fax Number | 5102762132 |
| Mailing Telephone | 5102767124 |
| Mailing Fax Number | 5102762132 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14549 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720327323 | Edward Becker | Ophthalmology | 3501 Silverside Rd, Naamans Bldg., Wilmington, DE 19810-4910 | 2013-02-04 |
| 1457620080 | Edward Becker | Pharmacist | 2840 Alexandria Pike, Highland Heights, KY 41076-1523 | 2011-12-28 |
| 1932485562 | Edward D Becker | Pharmacist | 2203 Beechmont Ave, Cincinnati, OH 45230 | 2011-10-27 |
| 1821235045 | Edward Becker | Social Worker | 23811 Chagrin Blvd, Suite 310, Beachwood, OH 44122-5525 | 2009-01-09 |
| 1124162789 | Edward H. Becker IIi | Orthopaedic Surgery | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2007-02-16 |
| 1962515858 | Edward V Becker | Dermatology | 2255 Ygnacio Valley Rd, #b-1, Walnut Creek, CA 94598 | 2006-08-16 |
| 1194703223 | Edward Rene Becker | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2006-01-09 |
| Street Address |
15600 WASHINGTON AVE STE. A |
| City | SAN LORENZO |
| State | CA |
| Zip Code | 94580-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518086875 | Gary R Albright | Dentist | 15600 Washington Ave, San Lorenzo, CA 94580-1467 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226047 | Sunrise Care Home LLC | Clinic/Center | 1447 Via Lucas, San Lorenzo, CA 94580 | 2018-12-07 |
| 1700370459 | Andrea Gisela Sanchez - Altamirano | Behavioral Analyst | 16215 Via Arriba Apt 205, San Lorenzo, CA 94580 | 2018-06-17 |
| 1700326030 | Cozy Physical Therapy | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-06 |
| 1912255605 | Brandi S Gates | Lactation Consultant, Non-RN | 1474 Via Coralla, San Lorenzo, CA 94580 | 2012-08-28 |
| 1255525572 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16829 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-29 |
| 1194917187 | Charlex Corp Usa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 16837 Daryl Ave, San Lorenzo, CA 94580 | 2007-08-14 |
| 1629136080 | Winston F Yee | Dentist | 17760 Hesperian Blvd, San Lorenzo, CA 94580 | 2006-12-05 |
| 1871686568 | Linh P Nguyen | Chiropractor | 15817 Channel Street, San Lorenzo, CA 94580 | 2006-10-02 |
| 1821024902 | John Peter Derdivanis | Dentist | 15600 Washington Ave.ste.e, San Lorenzo, CA 94580 | 2006-06-23 |
| 1588104608 | Cozy Physical Therapy Professional Corporation | Clinic/Center | 16012 Via Granada, San Lorenzo, CA 94580 | 2017-03-08 |
| Find all providers in zip 94580 | ||||
| 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 |
|---|---|---|---|---|
| 1902963051 | Gagandeep Singh Kohli | Dentist | 16177 Hesperian Blvd, San Lorenzo, CA 94580-2451 | 2007-01-01 |
| 1629136080 | Winston F Yee | Dentist | 17760 Hesperian Blvd, San Lorenzo, CA 94580 | 2006-12-05 |
| 1568429728 | Miguel A Alvarado | Dentist | Calle Jose De Diego #5, San Lorenzo, PR 00754 | 2006-04-28 |
| 1154662922 | Shital Kazi | Dentist | 10 Lewelling Blvd, San Lorenzo, CA 94580-1628 | 2013-03-04 |
| 1609176890 | Clifton Raymond Chan | Dentist | 15522 Hesperian Blvd, San Lorenzo, CA 94580-1609 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN LORENZO |
| Zip Code | 94580 |
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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.