TIMOTHY E MICKIEWICZ DENTAL CORPORATION (NPI# 1558668244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558668244 |
| Entity Type | Organization |
| Organization Name | TIMOTHY E MICKIEWICZ DENTAL CORPORATION |
| Practice Address |
3401 Folsom Blvd Suite A Sacramento CA 95816-5354 |
| Practice Telephone | 9164577710 |
| Mailing Telephone | 9164577710 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | TIMOTHY MICKIEWICZ (DENTIST) |
| Authorized Official Telephone | 9164577710 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 30810 | CA | Managed Care Organizations |
| Street Address |
3401 FOLSOM BLVD SUITE A |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073540399 | Parry Physical Therapy & Athletic Enhancement, Inc. | Clinic/Center | 3401 Folsom Blvd, Suite B, Sacramento, CA 95816-5354 | 2006-06-26 |
| 1861786667 | Ryan Wilgus | Dentist | 3401 Folsom Blvd, Suite A, Sacramento, CA 95816-5354 | 2011-06-09 |
| 1013005610 | Ingrid S Parry | Physical Therapist | 3401 Folsom Blvd, Suite B, Sacramento, CA 95816-5354 | 2006-10-10 |
| 1710910658 | Laura Santana Bower | Physical Therapist | 3401 Folsom Blvd, Suite B, Sacramento, CA 95816-5354 | 2006-07-07 |
| 1952338568 | Gregory John Parry | Physical Therapist | 3401 Folsom Blvd, Suite B, Sacramento, CA 95816-5311 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902212194 | Masoud Nafey Od Inc | Preferred Provider Organization | 1930 9th St, Suite 206, Sacramento, CA 95811-7043 | 2014-07-08 |
| 1982861431 | Hung Q. Le Dds. Inc | Preferred Provider Organization | 8021 Florin Rd, Sacramento, CA 95828 | 2008-05-21 |
| 1821287988 | Curtis Dental | Preferred Provider Organization | 1355 Florin Rd Ste 18, Sacramento, CA 95822-4244 | 2007-10-15 |
| 1043609969 | Preparing People for Success | Preferred Provider Organization | 1513 Sports Dr, Sacramento, CA 95834-1943 | 2015-01-15 |
| 1649671843 | Silvia Calderon | Preferred Provider Organization | 7601 Hospital Dr, Suite 220, Sacramento, CA 95823 | 2014-09-08 |
| 1831590215 | Yvette Rincon | Preferred Provider Organization | 7601 Hospital Dr, Sacramento, CA 95823-5408 | 2014-09-04 |
| 1558614255 | Alizadeh & Saleh, Dds, Inc | Preferred Provider Organization | 4350 Marconi Ave Ste 100, Sacramento, CA 95821-4379 | 2012-10-18 |
| 1770774184 | Geryoung Yang, D.d.s.; Inc | Preferred Provider Organization | 1355 Florin Rd Ste 8, Sacramento, CA 95822-4200 | 2007-08-09 |
| 1932310919 | Emq Children and Family Services | Preferred Provider Organization | 8801 Folsom Blvd, Sacramento, CA 95826-3257 | 2007-05-24 |
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| 1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on TIMOTHY E MICKIEWICZ DENTAL CORPORATION.
| 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.