FAMILY DENTISTRY (NPI# 1508114984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508114984 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTISTRY |
| Practice Address |
650 Central Ave Ste I Alameda CA 94501-7803 |
| Mailing Address |
650-i Central Ave Alameda CA 94501 |
| Practice Telephone | 5107691500 |
| Mailing Telephone | 5107691500 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | DR. CATHY PHAM (OWNER) |
| Authorized Official Telephone | 5107691500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
42494 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558744995 | Family Dentistry | Dentist | 1618 N 5th St Ste 2, Ponca City, OK 74601-2764 | 2015-07-02 |
| 1053608042 | Family Dentistry | Dentist | 10655 State Road 662, Newburgh, IN 47630 | 2011-06-29 |
| 1871743682 | Family Dentistry | Dentist | 1810 Knox Ave Ste A, North Augusta, SC 29841-2903 | 2008-09-29 |
| 1053582908 | Family Dentistry | Dentist | 489 Western Ave, Albany, NY 12203 | 2008-03-19 |
| 1770752073 | Family Dentistry | Dentist | 1163 Seay Ave, Boaz, AL 35957-6242 | 2008-02-21 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1588641344 | Family Dentistry | Clinic/Center | 3000 Hungary Spring Road, Richmond, VA 23228 | 2005-12-22 |
| 1487090411 | Family Dentistry | Dentist | 16018 Amar Rd, City of Industry, CA 91744-2203 | 2013-05-16 |
| 1558607242 | Family Dentistry | Dentist | 1756 Vine Street, Denver, CO 80206 | 2012-12-27 |
| 1316292097 | Family Dentistry | Dentist | 1756 Vine St, Denver, CO 80206-1120 | 2012-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY DENTISTRY | 421 Main St, Polson, MT 59860-2123 |
| Virginia Business Entities | Family Dentistry Gregory S. DiRenzo DMD P.C. | 540 East Main Street, Purcellville, Virginia 20132 |
| Indiana Business Entities | FAMILY DENTISTRY INC | 2006 N Main St, Mishawaka, IN 46545 |
| New York State Corporations | FAMILY DENTISTRY OF BRIARCLIFF, PLLC | 11 Martine Avenue, 12th Floor, White Plains, Ny 10606 |
| Connecticut Business Registrations | Family Dentistry of Bridgeport P. C. | 90 Brooklawn Ave, Bridgeport, CT 06604 |
| Connecticut Business Registrations | FAMILY DENTISTRY OF DERBY P.C. | 115 New Haven Ave, Derby, CT 06418 |
| New York State Corporations | FAMILY DENTISTRY OF DR. JESSICA SHIN, PLLC | 365 Aviation Rd, Queensbury, Ny 12804 |
| Oregon Corporations, Companies and Business Names | FAMILY DENTISTRY OF GOLD BEACH, INC. | 29814 Ellensburg, Gold Beach, OR 97444 |
| Connecticut Business Registrations | FAMILY DENTISTRY OF HARTFORD PLLC | 19 Woodland Street, Suite 25, Hartford, CT 06105 |
| System for Award Management (SAM) Entities | FAMILY DENTISTRY OF HOUSTON PC | 13145 Veterans Memorial Dr, Houston, TX 77014-1903 |
| Street Address |
650 CENTRAL AVE STE I |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-7803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538256250 | Finn H. Tonsberg, D.d.s., Inc. | Clinic/Center | 1907 Santa Clara Ave, Alameda, CA 94501-2633 | 2006-10-06 |
| 1629300595 | Corazon B. Manaloto Dds Inc. | Clinic/Center | 2651 Blanding Ave, Suite L, Alameda, CA 94501-1580 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| 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.