DR. HERBERT CARL BERQUIST (NPI# 1619049665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619049665 |
| Entity Type | Individual |
| Full Name | DR. HERBERT CARL BERQUIST |
| Credential | DMD |
| Practice Address |
5150 Graves Ave #12h San Jose CA 95129-5015 |
| Practice Telephone | 4082531867 |
| Practice Fax Number | 4082536419 |
| Mailing Telephone | 4082531867 |
| Mailing Fax Number | 4082536419 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
014237 | CA | Dental Providers |
| Street Address |
5150 GRAVES AVE #12H |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174582837 | Charles Peter Milani | Dentist | 5150 Graves Ave, Suite 9a, San Jose, CA 95129 | 2006-03-21 |
| 1881137438 | Gauri A. Bhagwat,dds,inc | Clinic/Center | 5150 Graves Ave, Suite 11-g, San Jose, CA 95129-5013 | 2016-11-30 |
| 1194180018 | G2j Clinic Inc | Clinic/Center | 5150 Graves Ave, Suite 11b, San Jose, CA 95129-5013 | 2015-12-18 |
| 1295101137 | C-dental X-ray, Inc. | Dental Laboratory | 5150 Graves Ave, Ste. 8d, San Jose, CA 95129-5013 | 2015-08-14 |
| 1700225521 | Mint Jer Chou | Dentist | 5150 Graves Ave, Bldg. #3, San Jose, CA 95129-5013 | 2013-06-14 |
| 1376809863 | Keith M. Cooper | Dentist | 5150 Graves Ave, Ste 12e, San Jose, CA 95129-5013 | 2012-04-09 |
| 1699052779 | Tykeisha Denise Muhusin | Dentist | 5150 Graves Ave, Suite 11e, San Jose, CA 95129-5013 | 2011-11-03 |
| 1780976456 | Family Chiropractic Care Inc. | Chiropractor | 5150 Graves Ave, Building # 7, San Jose, CA 95129-5013 | 2011-05-12 |
| 1205126570 | Richard H Sieve, M. D., A Prof. Corp | Specialist | 5150 Graves Ave, San Jose, CA 95129-5013 | 2011-04-07 |
| 1962729228 | Hongyan Li | Acupuncturist | 5150 Graves Ave, Suite 5a, San Jose, CA 95129-5013 | 2010-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1871975888 | Andrew Harsany | Dentist | 2945 The Villages Pkwy, San Jose, CA 95135-1451 | 2015-06-25 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1407087083 | Brandon B. Kang | Dentist | 1655 The Alameda, San Jose, CA 95126-2203 | 2009-07-31 |
| 1427182179 | Andrew D Harsany Dds Inc | Dentist | 2945 The Villages Parkway, San Jose, CA 95135 | 2007-03-15 |
| 1548354095 | Paul Joseph Carroll | Dentist | 5460 Dellwood Way, San Jose, CA 95118 | 2006-10-02 |
| 1699886283 | Jon R Lindsay | Dentist | 2118 Mckee Rd, San Jose, CA 95116-1427 | 2006-08-31 |
| 1215599394 | M Elder Dental Group Corporation | Dentist | 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 | 2019-06-28 |
| 1831211531 | Joseph Edward Kuhar | Dentist | 4110 Moorpark Ave, Suite E, San Jose, CA 95117-1712 | 2007-04-04 |
| 1639275217 | Ned Leonard Nix | Dentist | 704 Blossom Hill Rd, Suite 102, San Jose, CA 95123-5403 | 2006-09-15 |
| Find all providers in SAN JOSE | ||||
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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.