DR. MARK LARSEN BRADFORD (NPI# 1477555613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477555613 |
| Entity Type | Individual |
| Full Name | DR. MARK LARSEN BRADFORD |
| Credential | D.D.S. |
| Practice Address |
2545 Ceanothus Ave Ste 138 Chico CA 95973-7611 |
| Practice Telephone | 5303427974 |
| Mailing Telephone | 5303427974 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
36646 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137611 | Mark Bradford | Physician Assistant | 1 Texas Station Ct, Timonium, MD 21093-8286 | 2006-06-03 |
| 1295907707 | Mark A Bradford | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2008-03-25 |
| 1396867271 | Mark Lavelle Bradford | Psychologist | 309 N Jefferson Ave, Ste 245, Springfield, MO 65806-1108 | 2007-04-04 |
| 1548335938 | Mark W Bradford | Specialist | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2006-11-21 |
| Street Address |
2545 CEANOTHUS AVE STE 138 |
| City | CHICO |
| State | CA |
| Zip Code | 95973-7611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871631655 | Paul David Graham | Marriage & Family Therapist | 2545 Ceanothus Ave, Suite 130, Chico, CA 95973-7611 | 2007-02-02 |
| 1073679122 | Judy Ann Brislain | Counselor | 2545 Ceanothus Ave, Suite 130, Chico, CA 95973-7611 | 2006-12-30 |
| 1427128396 | Dorian Arthur Dodds | Dentist | 2545 Ceanothus Ave, Suite #134, Chico, CA 95973-7717 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066997 | Jennifer Ballintine | Dietitian, Registered | 2511 Navarro Drive, Chico, CA 95973 | 2018-06-11 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1699298323 | Wyatt Pforsich | Student in an Organized Health Care Education/Training Program | 4038 Augusta Ln, Chico, CA 95973 | 2017-07-25 |
| 1407386006 | Martha Martinez | Case Manager/Care Coordinator | 10 Indepence Circle, Chico, CA 95973 | 2017-06-15 |
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1922550664 | Pablo Zubiate | Perfusionist | 13999 Limousin Drive, Chico, CA 95973 | 2016-10-28 |
| 1376090944 | Sarah Scharf | Behavioral Analyst | 15 Declaration Dr., Chico, CA 95973 | 2016-09-01 |
| 1336518323 | Karie Frances Kaufman | Marriage & Family Therapist | 60 Landing Cir, Ste 1, Chico, CA 95973 | 2015-09-19 |
| 1013251404 | Brigette Marie Brown | Speech-Language Pathologist | 2870 Cactus Ave, Chico, CA 95973 | 2012-11-26 |
| Find all providers in zip 95973 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511096 | Kham Vang | Dentist | 236 W East Ave Ste H, Chico, CA 95926-7239 | 2011-09-07 |
| 1851602916 | Steven John Rogers | Dentist | 2580 Sierra Sunrise Terrace, #220, Chico, CA 95928 | 2010-06-23 |
| 1255653655 | Jessica Carrillo | Dentist | 100 Sterling Oaks Dr Apt 230, Chico, CA 95928-9460 | 2010-02-25 |
| 1578713491 | Ashley Saunderson Harrison | Dentist | 3901 Barbados Ct, Chico, CA 95973-8987 | 2008-09-28 |
| 1053444539 | Tony C Jewett | Dentist | 236 W 3rd St, Chico, CA 95928-5311 | 2007-03-13 |
| 1295867240 | David C Brown | Dentist | 2575 Ceanothus Ave, Ste.160, Chico, CA 95973-7615 | 2007-03-12 |
| 1548301930 | Western Dental Services, Inc. | Dentist | 1016 Skyway, Chico, CA 95928-7129 | 2007-02-09 |
| 1710038310 | Steven C. Crowson | Dentist | 1206 Esplanade, Chico, CA 95926-3329 | 2007-01-12 |
| 1326105461 | Michael Robert Jones | Dentist | 2411 Notre Dame Blvd, Chico, CA 95928-7157 | 2007-01-01 |
| 1194889832 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 1010 Mangrove Ave, Suite A/b, Chico, CA 95926-3551 | 2006-12-20 |
| Find all providers in CHICO | ||||
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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.