CAPITAL PERIODONTAL GROUP (NPI# 1568597516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568597516 |
| Entity Type | Organization |
| Organization Name | CAPITAL PERIODONTAL GROUP |
| Practice Address |
1810 Professional Drive Sacramento CA 95825 |
| Mailing Address |
Po Box 255747 Sacramento CA 95865 |
| Practice Telephone | 9169713461 |
| Practice Fax Number | 9169739830 |
| Mailing Telephone | 9163946555 |
| Mailing Fax Number | 9163946545 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ARISTIDIS PONTIKAS (PERIODONTIST) |
| Authorized Official Telephone | 9169713461 |
| Authorized Official Credential | DMD MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
1810 PROFESSIONAL DRIVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104276765 | Behdad Javdan | Dentist | 5009 Bremner Way, Apt #2, Sacramento, CA 95841-4622 | 2016-06-15 |
| 1386029270 | Sarmad Paydar | Dentist | 1017 L St # 684, Sacramento, CA 95814-3805 | 2015-07-21 |
| 1982096897 | Ronald R. Rott | Dentist | 4145 Garden Hwy, Sacramento, CA 95834-9600 | 2015-03-02 |
| 1760721104 | Ramandeep K Gill | Dentist | 3290 Arena Blvd Ste 610, Sacramento, CA 95834-3003 | 2013-02-05 |
| 1932487410 | Dorel Onea | Dentist | 717 13th St, Suite A, Sacramento, CA 95814-1951 | 2011-08-01 |
| 1326240854 | Ching-yin Tsai | Dentist | 4150 Truxel Rd, Suite D, Sacramento, CA 95834-3761 | 2007-06-05 |
| 1881721199 | Robin Howard Berrin | Dentist | 1810 Professional Dr, Sacramento, CA 95825 | 2007-02-27 |
| 1336292028 | Leland Lee | Dentist | 2131 Capitol Ave Ste 200, Sacramento, CA 95816-5755 | 2007-01-18 |
| 1417459397 | Matthew A. Korn, Dds, Professional Corporation | Dentist | 2830 G St Ste 100, Sacramento, CA 95816-3784 | 2018-03-06 |
| 1770030538 | Sarmad Paydar Dds Ms Corp | Dentist | 1017 L St # 684, Sacramento, CA 95814-3805 | 2016-09-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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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.