TIBBITTS FALLBROOK DENTAL GROUP (NPI# 1649735986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649735986 |
| Entity Type | Organization |
| Organization Name | TIBBITTS FALLBROOK DENTAL GROUP |
| Practice Address |
521 E Elder St Ste 203 Fallbrook CA 92028-3083 |
| Practice Telephone | 7607281592 |
| Mailing Telephone | 7607281592 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | VALERIE ROGERS (OFFICE MANAGER) |
| Authorized Official Telephone | 9516775113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tibbitts Fallbrook Dental Group | Doing Business As Name - Organization |
| Street Address |
521 E ELDER ST STE 203 |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770715229 | Richard Kay Hada | Dentist | 521 E Elder St Ste 203, Fallbrook, CA 92028-3083 | 2009-08-18 |
| 1427541168 | J Walker Dental Corporation | Clinic/Center | 521 E Elder St Ste 203, Fallbrook, CA 92028-3083 | 2018-06-07 |
| 1215434451 | James E Sorge Dmd A Professional Corporation | Clinic/Center | 521 E Elder St Ste 203, Fallbrook, CA 92028-3083 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
| Find all providers in zip 92028 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428822 | Goel, Cohen & Riazi Dental Corp | Clinic/Center | 3108 Highway 76, Fallbrook, CA 92028-9318 | 2020-08-21 |
| 1487266417 | Bramhall Dental Corp | Clinic/Center | 1108 S Main Ave, Fallbrook, CA 92028-3325 | 2020-08-20 |
| 1427541168 | J Walker Dental Corporation | Clinic/Center | 521 E Elder St Ste 203, Fallbrook, CA 92028-3083 | 2018-06-07 |
| 1215434451 | James E Sorge Dmd A Professional Corporation | Clinic/Center | 521 E Elder St Ste 203, Fallbrook, CA 92028-3083 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.