DR. BENJAMIN COSTA II (NPI# 1659756575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659756575 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN COSTA II |
| Credential | D.M.D. |
| Practice Address |
4142 Adams Ave San Diego CA 92116-2592 |
| Practice Telephone | 6193260157 |
| Mailing Telephone | 6193260157 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 64628 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730586769 | Benjamin Pierce Costa | Physical Therapist | 51 Lochinvar Rd, San Rafael, CA 94901-2446 | 2014-11-19 |
| Street Address |
4142 ADAMS AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-2592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811202609 | Patricia Chris Kantzavelos | Social Worker | 4142 Adams Ave, Unit 103-123, San Diego, CA 92116-2592 | 2010-08-17 |
| 1164937421 | Shane Gregory Krohnfeldt | Dentist | 4142 Adams Ave, San Diego, CA 92116-2592 | 2017-12-08 |
| 1417359969 | Le and Pham Dental Corporation | Dentist | 4142 Adams Ave, Suite 104, San Diego, CA 92116-2508 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| 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 |
|---|---|---|---|---|
| 1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
| 1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
| 1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
| 1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
| 1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
| 1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
| 1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
| 1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
| 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.