C-DENTAL X-RAY, INC. (NPI# 1639555105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639555105 |
| Entity Type | Organization |
| Organization Name | C-DENTAL X-RAY, INC. |
| Practice Address |
695 Oak Grove Ave Ste. 330 Menlo Park CA 94025-4351 |
| Mailing Address |
450 Sutter St Ste. 1542 San Francisco CA 94108-4206 |
| Practice Telephone | 6523230204 |
| Mailing Telephone | 4154211389 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | MR. JEROME N PECK (CEO) |
| Authorized Official Telephone | 6502076209 |
| Authorized Official Credential | DLXT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | RHP00053519 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245606847 | C-dental X-ray, Inc. | Dental Laboratory | 362 W Portal Ave, San Francisco, CA 94127-1412 | 2015-08-18 |
| 1750757696 | C-dental X-ray, Inc. | Dental Laboratory | 1475 Cedarwood Ln, Ste. D, Pleasanton, CA 94566-6153 | 2015-08-14 |
| 1609242205 | C-dental X-ray, Inc. | Dental Laboratory | 1050 Northgate Dr, Ste. 110, San Rafael, CA 94903-2526 | 2015-08-18 |
| 1356717953 | C-dental X-ray, Inc. | Dental Laboratory | 450 Sutter St, Ste. 1542, San Francisco, CA 94108-4206 | 2015-08-18 |
| 1477929313 | C-dental X-ray, Inc. | Dental Laboratory | 3535 Ross Ave, Bldg II Ste. 208, San Jose, CA 95124-3054 | 2015-08-14 |
| 1821464769 | C-dental X-ray, Inc. | Dental Laboratory | 505 South Dr, Ste. 7, Mountain View, CA 94040-4212 | 2015-08-14 |
| 1295101137 | C-dental X-ray, Inc. | Dental Laboratory | 5150 Graves Ave, Ste. 8d, San Jose, CA 95129-5013 | 2015-08-14 |
| Street Address |
695 OAK GROVE AVE STE. 330 |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-4351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407816515 | Atherton Neurology Medical Office, Inc | Psychiatry & Neurology | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2006-03-23 |
| 1073981304 | Alok Arora, Dmd, PC | Dentist | 695 Oak Grove Ave, Suite 300, Menlo Park, CA 94025 | 2015-09-03 |
| 1982094421 | Sereno Pain Managment Medical Group, Inc. | Anesthesiology | 695 Oak Grove Ave, Ste. 200, Menlo Park, CA 94025-4369 | 2015-02-04 |
| 1578960621 | Lee and Lum Dental, PC | Dentist | 695 Oak Grove Ave, Suite 300, Menlo Park, CA 94025-4351 | 2014-12-04 |
| 1740530716 | Csg Better Hearing Services, Inc., A Professional Audiology Corp. | Audiologist-Hearing Aid Fitter | 695 Oak Grove Ave, Menlo Park, CA 94025-4351 | 2012-09-17 |
| 1659575991 | Leslie A Hall | Clinical Neuropsychologist | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2007-06-12 |
| 1609079722 | Dhira Khosla | Psychiatry & Neurology | 695 Oak Grove Ave, Suite 310, Menlo Park, CA 94025-4351 | 2007-06-06 |
| 1417169491 | Lidia Brown | Psychiatry & Neurology | 695 Oak Grove Ave, Ste 310, Menlo Park, CA 94025-4351 | 2007-05-04 |
| 1689893703 | William M Gould | Specialist | 695 Oak Grove Ave, Suite 220, Menlo Park, CA 94025-4351 | 2007-04-25 |
| 1063631190 | Elizabeth B Gould | Specialist | 695 Oak Grove Ave, Suite 220, Menlo Park, CA 94025-4351 | 2007-04-25 |
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|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
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| 1982192290 | Dj Dental Lab Inc | Dental Laboratory | 700 N Valley St Ste F-g, Anaheim, CA 92801-3824 | 2018-04-23 |
| 1427587724 | California Dental Arts, LLC | Dental Laboratory | 20421 Pacifica Dr, Cupertino, CA 95014-3013 | 2017-06-08 |
| 1366807950 | C-dental X-ray, Inc | Dental Laboratory | 1900 Olympic Blvd, Ste. 201, Walnut Creek, CA 94596-5037 | 2015-12-23 |
| 1932576220 | Dental Digital Design | Dental Laboratory | 17781 Sky Park Cir # D, Irvine, CA 92614-6103 | 2015-08-21 |
| 1245606847 | C-dental X-ray, Inc. | Dental Laboratory | 362 W Portal Ave, San Francisco, CA 94127-1412 | 2015-08-18 |
| 1750757696 | C-dental X-ray, Inc. | Dental Laboratory | 1475 Cedarwood Ln, Ste. D, Pleasanton, CA 94566-6153 | 2015-08-14 |
| 1639588205 | John Bilder Fund Billingsworth Lab | Dental Laboratory | 7202 Greenleaf Ave, 13303 Philadelphia St, Whittier, CA 90602-1312 | 2014-08-08 |
| 1588915615 | Usc Redmond Imaging Center | Dental Laboratory | 925 W 34th St Ste 319, Los Angeles, CA 90089-0641 | 2012-09-28 |
| 1134493943 | Mike's Dental Lab | Dental Laboratory | 1735 Professional Drive, Sacramento, CA 95825 | 2012-02-27 |
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| City | MENLO PARK |
| Zip Code | 94025 |
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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.