DR. ALLEN TRENT VERNON (NPI# 1619297843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619297843 |
| Entity Type | Individual |
| Full Name | DR. ALLEN TRENT VERNON |
| Credential | DMD |
| Practice Address |
475 Bruce St Yreka CA 96097-3474 |
| Mailing Address |
479 Raven Way Unit C Chubbuck ID 83202-1958 |
| Practice Telephone | 5308423507 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-4297 | ID | Dental Providers |
| Street Address |
475 BRUCE ST |
| City | YREKA |
| State | CA |
| Zip Code | 96097-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476578 | Christal J Duncan | Obstetrics & Gynecology | 475 Bruce St, Yreka, CA 96097-3474 | 2005-06-08 |
| 1174092944 | Teresa Jean Schuyler | Nurse Practitioner | 475 Bruce St, Yreka, CA 96097-3474 | 2018-11-21 |
| 1912481284 | Amber Bernelis | Physician Assistant | 475 Bruce St, Yreka, CA 96097-3474 | 2018-09-21 |
| 1205314648 | Seamus Mannix | Dentist | 475 Bruce St, Yreka, CA 96097-3474 | 2018-07-28 |
| 1447768718 | Alex Wade Childs | Physician Assistant | 475 Bruce St, Yreka, CA 96097-3474 | 2018-01-19 |
| 1124484225 | Siskiyou Hospital Inc | Dental Hygienist | 475 Bruce St, Yreka, CA 96097-3474 | 2016-01-06 |
| 1093197790 | Charity Ann Bradley | Registered Nurse | 475 Bruce St, Yreka, CA 96097-3474 | 2015-06-18 |
| 1629459607 | Jon Hopkins | Podiatrist | 475 Bruce St, Yreka, CA 96097-3474 | 2015-06-15 |
| 1669897542 | Christa Lynn Fournier | Nurse Practitioner | 475 Bruce St, Yreka, CA 96097-3474 | 2014-02-28 |
| 1902233349 | Monica Kay Mais | Nurse Practitioner | 475 Bruce St, Yreka, CA 96097-3474 | 2013-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1578883864 | Ginger A Bert | Chiropractor | 106 Ranch Ln Ste A, Yreka, CA 96097 | 2010-06-09 |
| 1669796611 | Rebekah Joyce Retterath | Dietitian, Registered | 444 Bruce Street, Yreka, CA 96097 | 2010-03-19 |
| 1780849679 | Donna Jean May | Marriage & Family Therapist | 625 Butte Street, Yreka, CA 96097 | 2008-07-21 |
| 1114121589 | Loren Cronk | Marriage & Family Therapist | 208 4th Street, Yreka, CA 96097 | 2007-06-12 |
| 1093928863 | Kristin Rene Kopplin | Psychologist | 1515 South Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-08 |
| 1073735379 | Rivkah Lynn Barmore | Social Worker | 1515 S Oregon, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1649492091 | Randy Terry Murieen | Social Worker | 1515 S Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1265654537 | Roy Victor Hall Jr. | Social Worker | 1515 South Oregon St, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1578785614 | Meadowlark | Assisted Living Facility | 351 Bruce St, Yreka, CA 96097 | 2007-05-02 |
| Find all providers in zip 96097 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427260314 | Trevor L. Ragan, Dds, Inc. | Dentist | 444 W Miner St, Yreka, CA 96097-2839 | 2007-05-04 |
| 1386866275 | Todd Alvin Young | Dentist | 444 West Miner St, Yreka, CA 96097-2839 | 2007-05-02 |
| 1225161680 | Timothy Gay Willis | Dentist | 310 Evergreen Ln, Yreka, CA 96097-3203 | 2007-03-14 |
| 1124028857 | Douglas John Langford | Dentist | 1012 4th St, Yreka, CA 96097-3316 | 2005-07-22 |
| 1497043038 | Randy D Krant | Dentist | 310 Evergreen Ln, Yreka, CA 96097-3203 | 2011-07-18 |
| 1295860617 | Michelle Lynn Stark | Dentist | 544 N Main St, Yreka, CA 96097-2553 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
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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.