LEWIS R EVERSOLE (NPI# 1649230608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649230608 |
| Entity Type | Individual |
| Full Name | LEWIS R EVERSOLE |
| Credential | DDS |
| Practice Address |
9292 Chesapeake Dr Ste 100 San Diego CA 92123-1059 |
| Mailing Address |
Po Box 643 Poway CA 92074-0643 |
| Practice Telephone | 8584929500 |
| Mailing Telephone | 8585133889 |
| Mailing Fax Number | 8585133893 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
27608 | CA | Dental Providers |
| Street Address |
9292 CHESAPEAKE DR STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861452641 | L R Eversole A Dental Corporation | Dentist | 9292 Chesapeake Dr Ste 100, San Diego, CA 92123-1059 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487082046 | Scripps Oral Pathology Service, LLC | Dentist | 5190 Governor Dr Ste 106, San Diego, CA 92122-2848 | 2013-10-17 |
| 1144392374 | German Trujillo | Dentist | 4520 Executive Dr Ste 220, San Diego, CA 92121-3020 | 2006-11-14 |
| 1629168265 | Allan Joseph Dovigi | Dentist | 9520 Chesapeake Dr, Suite 607, San Diego, CA 92123-1331 | 2006-10-13 |
| 1366450413 | Kenneth Allen Storum | Dentist | 2655 Camino Del Rio North #140, San Diego, CA 92108 | 2006-08-04 |
| 1871526764 | Gerald D. Horner | Dentist | 10668 Hunters Glen Dr, San Diego, CA 92130-4850 | 2006-07-07 |
| 1861452641 | L R Eversole A Dental Corporation | Dentist | 9292 Chesapeake Dr Ste 100, San Diego, CA 92123-1059 | 2006-03-24 |
| 1396282398 | Davies Pathology & Industry, Inc. | Dentist | 9520 Chesapeake Dr, Suite 607, San Diego, CA 92123-1370 | 2017-01-27 |
| 1528317526 | Dovigi Enterprises | Dentist | 9292 Chesapeake Dr, Suite 100, San Diego, CA 92123-1060 | 2012-09-05 |
| 1023216751 | San Diego Specialty Care | Dentist | 5638 Mission Center Rd, #105, San Diego, CA 92108-4348 | 2007-07-03 |
| 1679693550 | Gordon Marvin Rick | Dentist | 5190 Governor Dr, Suite 106, San Diego, CA 92122-2847 | 2007-04-02 |
| Find all providers in SAN DIEGO | ||||
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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.