RONI DAWN DOUGLAS (NPI# 1598873432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598873432 |
| Entity Type | Individual |
| Full Name | RONI DAWN DOUGLAS |
| Credential | DDS |
| Practice Address |
920 Northgate Dr Suite 4 San Rafael CA 94903-3429 |
| Mailing Address |
20 Circle Rd San Rafael CA 94903-3821 |
| Practice Telephone | 4154911662 |
| Practice Fax Number | 4154910312 |
| Mailing Telephone | 4154994670 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
31030 | CA | Dental Providers |
| Street Address |
920 NORTHGATE DR SUITE 4 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291606 | Tamra M Adams | Dentist | 920 Northgate Dr, Suite 7, San Rafael, CA 94903-3429 | 2005-08-02 |
| 1255769493 | Faye Hakimi Dental | Clinic/Center | 920 Northgate Dr, San Rafael, CA 94903-3429 | 2013-10-25 |
| 1063848919 | William Richard Canihan | Dentist | 920 Northgate Dr, San Rafael, CA 94903-3429 | 2013-09-24 |
| 1083816292 | Farideh Hakimi | Dentist | 920 Northgate Dr, Suite 3, San Rafael, CA 94903 | 2007-06-01 |
| 1245448653 | Lorin Abrams Kaplan | Dentist | 920 Northgate Dr, Suite #8, San Rafael, CA 94903-3429 | 2007-05-18 |
| 1821211608 | Rosel Marie Mulkey | Acupuncturist | 920 Northgate Dr, Suite 5, San Rafael, CA 94903-3429 | 2007-04-10 |
| 1215096284 | Charles C. Palmigiano | Family Medicine | 920 Northgate Dr, Suite 6, San Rafael, CA 94903-3429 | 2006-12-06 |
| 1548361504 | Terra Linda Medical Group | Clinic/Center | 920 Northgate Dr, Suite 6, San Rafael, CA 94903-3429 | 2006-09-25 |
| 1174636039 | Ann Troy | Pediatrics | 920 Northgate Dr, Suite #9, San Rafael, CA 94903-3429 | 2006-08-16 |
| 1568483618 | Jerry S Mah | Dentist | 920 Northgate Dr, Suite 10, San Rafael, CA 94903-3429 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1043791890 | A Mola Dds Apc | Dentist | 1050 Northgate Dr Ste 505, San Rafael, CA 94903-2542 | 2018-08-28 |
| 1598272890 | Emma Abramyan | Dentist | 361 3rd St Ste H, San Rafael, CA 94901-3580 | 2018-01-08 |
| 1598169534 | Peter Fong | Dentist | 2 Civic Center Dr., #4429, San Rafael, CA 94913-4429 | 2014-10-20 |
| 1669802435 | Pacific Dental Group | Dentist | 1523 5th Ave, San Rafael, CA 94901-1806 | 2013-11-15 |
| 1154669190 | Chase Kotula Dental Partnership | Dentist | 4050 Redwood Hwy, Suite A, San Rafael, CA 94903-5149 | 2013-01-25 |
| 1740504059 | Peter Zahedi I | Dentist | 905 Lincoln Ave, San Rafael, CA 94901-3331 | 2010-03-16 |
| 1336378710 | Emad S. Elgendy | Dentist | 211 G St Apt 7, San Rafael, CA 94901-1834 | 2009-07-07 |
| 1184881195 | Kirby Man Yin Yee | Dentist | 912 Grand Ave Ste 101, San Rafael, CA 94901-3552 | 2008-05-19 |
| 1578777918 | Peter Fong, Dds, Inc. | Dentist | 1050 Northgate Dr Ste 139, San Rafael, CA 94903-2559 | 2007-05-09 |
| 1295955409 | Theodore Carle Schwarftz | Dentist | 630 Freitas Parkway, San Rafael, CA 94903 | 2007-04-27 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.