BENJAMIN GELERIS (NPI# 1568074839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568074839 |
| Entity Type | Individual |
| Full Name | BENJAMIN GELERIS |
| Credential | DDS |
| Practice Address |
1855 San Miguel Dr Ste 20 Walnut Creek CA 94596-5290 |
| Mailing Address |
925 Irving St Apt 201 San Francisco CA 94122-2225 |
| Practice Telephone | 9097535755 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 105327 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105327 | CA | Dental Providers |
| Street Address |
1855 SAN MIGUEL DR STE 20 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
|---|---|---|---|---|
| 1104470020 | Yu Chieh Chang | Dentist | 1075 Melissa Ct, Walnut Creek, CA 94598-4701 | 2019-07-29 |
| 1285084020 | Sonal Singh | Dentist | 1788 Pomar Way, Walnut Creek, CA 94598-1415 | 2016-06-13 |
| 1881054112 | Dan Wu | Dentist | 1855 San Miguel Dr Ste 31, Walnut Creek, CA 94596-5298 | 2016-02-29 |
| 1043689466 | Srijanani Manohar | Dentist | 317 Lennon Ln Ste 100, Walnut Creek, CA 94598-2464 | 2015-09-15 |
| 1679823298 | Puiman Tang | Dentist | 2079 Magnolia Way, Walnut Creek, CA 94595-1629 | 2012-09-11 |
| 1124321138 | Unlimited Smiles | Dentist | 2033 N Main St, Suite 1060-a, Walnut Creek, CA 94596-3722 | 2010-12-13 |
| 1558677872 | Daniel Charles Kim | Dentist | 1143 Danforth Ln, Walnut Creek, CA 94598-1867 | 2010-08-24 |
| 1043445919 | Michaela Stahl | Dentist | 237 Los Cerros Ave, Walnut Creek, CA 94598-3135 | 2009-05-21 |
| 1245480599 | Richard Putnam Usinger | Dentist | 1981 N Broadway Ste 212, Walnut Creek, CA 94596-3872 | 2008-09-23 |
| 1467620229 | Sean A Karimian Dds Inc | Dentist | 1928 Tice Valley Blvd, Walnut Creek, CA 94595 | 2008-02-14 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on BENJAMIN GELERIS.
| 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.