DR. MICHAEL KEVIN GAVIN (NPI# 1457462228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457462228 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KEVIN GAVIN |
| Credential | D.D.S. |
| Practice Address |
5680 Lake Murray Blvd Ste B La Mesa CA 91942-1905 |
| Practice Telephone | 8582086042 |
| Mailing Telephone | 6042858208 |
| Mailing Fax Number | 6194624312 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
37420 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194818922 | Michael Gavin | Dentist | 1637 Main St, Onalaska, WI 54650-2853 | 2006-10-02 |
| 1467741686 | Michael Joseph Gavin | Internal Medicine | 167 Sullys Trl, Ste 100, Pittsford, NY 14534-4567 | 2011-03-29 |
| 1700085149 | Michael Gavin | Internal Medicine | 185 Pilgrim Rd, Palmer 217, Boston, MA 02215-5324 | 2007-07-16 |
| 1255365391 | Michael W Gavin | Internal Medicine | 1001 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87106-4713 | 2006-07-11 |
| 1669442620 | Michael Philip Gavin | Surgery | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-24 |
| Street Address |
5680 LAKE MURRAY BLVD STE B |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-1905 |
| 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 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144348442 | Eugene Isamu Sugita | Dentist | 8860 Center Dr Ste 430, La Mesa, CA 91942-7001 | 2007-03-26 |
| 1942348560 | John C Pawlak | Dentist | 7900 El Cajon Blvd Ste F, La Mesa, CA 91941-3655 | 2007-02-03 |
| 1881847044 | Brian Terumi Nagai | Dentist | 8860 Center Dr, Suite 430, La Mesa, CA 91942-3068 | 2008-10-30 |
| 1356500110 | Craig Deagle | Dentist | 7900 El Cajon Blvd, La Mesa, CA 91942-0607 | 2008-06-06 |
| 1366659203 | Allen J Wei | Dentist | 5308 Lake Murray Blvd, Suite A, La Mesa, CA 91942-1334 | 2007-05-17 |
| 1427127281 | Haris Lakisic | Dentist | 5565 Grossmont Center Dr, La Mesa, CA 91942-3020 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
| Find all providers with the same taxonomy | ||||
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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.