CHEEMA DENTAL CORP (NPI# 1528423431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528423431 |
Entity Type | Organization |
Organization Name | CHEEMA DENTAL CORP |
Practice Address |
4053 E Morada Ln Stockton CA 95212-1608 |
Practice Telephone | 2094786000 |
Practice Fax Number | 2094761900 |
Mailing Telephone | 2094786000 |
Mailing Fax Number | 2094761900 |
Enumeration Date | 2015-12-18 |
Last Update Date | 2015-12-18 |
Authorized Official Name | JASBIR SINGH CHEEMA (PRESIDENT) |
Authorized Official Telephone | 2093239334 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | Dental Providers | ||
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
N | 124Q00000X | Dental Hygienist | Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Street Address |
4053 E MORADA LN |
City | STOCKTON |
State | CA |
Zip Code | 95212-1608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669861431 | Rajkamal Sohi | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2015-01-17 |
1982155834 | Sushma Mangalavarapet Kantharaju | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2016-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
Find all providers in zip 95212 |
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 |
---|---|---|---|---|
1851901557 | Marcel Evan Acob | Dentist | 3453 Brookside Rd Ste A, Stockton, CA 95219-1788 | 2020-08-06 |
1124687314 | Jonathan Gordon Low | Dentist | 3031 W March Ln Ste 340, Stockton, CA 95219-6562 | 2019-06-11 |
1649746066 | Rommel K Bal Dds A Dental Corporation | Dentist | 1545 Saint Marks Plz Ste 1, Stockton, CA 95207-6411 | 2018-10-23 |
1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
1689079501 | Steven Mikkio Otani | Dentist | 618 Lincoln Ctr, Stockton, CA 95207-2639 | 2014-11-04 |
1104245398 | Bradley C. Louie, Dds, Inc. | Dentist | 4255 Pacific Ave Ste 1, Stockton, CA 95207-7638 | 2014-04-15 |
1497196737 | Nidhi Gupta | Dentist | 7860 West Ln, Stockton, CA 95210-3317 | 2013-07-16 |
1992064364 | Quan Vo Anh Nguyen Dds Inc | Dentist | 702 Porter Ave Ste F, Stockton, CA 95207-4297 | 2012-05-04 |
1649544404 | Cherie Diana Fiscus | Dentist | 4565 Quail Lakes Dr, Suite A2, Stockton, CA 95207-5294 | 2012-02-26 |
1760763767 | Leng C Haong Dds Inc | Dentist | 6323 Pacific Ave, Stockton, CA 95207 | 2011-09-02 |
Find all providers in STOCKTON |
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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.