RICHARD H. MOGENSEN DDS APC (NPI# 1750595567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750595567 |
| Entity Type | Organization |
| Organization Name | RICHARD H. MOGENSEN DDS APC |
| Other Organization Name | FRUITVALE DENTAL GROUP |
| Practice Address |
1624 Franklin St Suite 1206 Oakland CA 94612-2824 |
| Practice Telephone | 5104525555 |
| Mailing Telephone | 5104525555 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD H. MOGENSEN (PRESIDENT) |
| Authorized Official Telephone | 5104525555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | CA 21733 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92157-01 | 05 |
| Other Name | Type Code |
|---|---|
| Fruitvale Dental Group | Doing Business As Name - Organization |
| Street Address |
1624 FRANKLIN ST SUITE 1206 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085194 | Brian Binh Trinh | Dentist | 1624 Franklin St, Ste 910, Oakland, CA 94612-2824 | 2005-06-30 |
| 1346693017 | Anandika Aggarwal | Dentist | 1624 Franklin St, Suite 615, Oakland, CA 94612-2897 | 2016-07-19 |
| 1417371345 | Dr. Draak Davis Family Dental | Preferred Provider Organization | 1624 Franklin St, Suite 1206, Oakland, CA 94612-2897 | 2014-02-12 |
| 1710283833 | Eric Anthony Lim | Dentist | 1624 Franklin St, Suite #410, Oakland, CA 94612-2897 | 2011-02-07 |
| 1902067747 | Midori Betty Tachibana | Dentist | 1624 Franklin St, Suite 1220, Oakland, CA 94612-2897 | 2008-06-24 |
| 1881882660 | James Lester Weaver Jr. | Dentist | 1624 Franklin St, Suite 320, Oakland, CA 94612-2882 | 2007-10-05 |
| 1154449395 | Romeo Reyes Aquino | Dentist | 1624 Franklin St, Suite 405, Oakland, CA 94612 | 2007-03-26 |
| 1326170770 | Tong Woo Lee | Dentist | 1624 Franklin St, Suite 1005, Oakland, CA 94612-2897 | 2007-03-12 |
| 1316073927 | Lawrence Shih | Dentist | 1624 Franklin St, Suite 1010, Oakland, CA 94612-2897 | 2007-02-26 |
| 1699825679 | Robert Charles Golden | Dentist | 1624 Franklin St, Suite 1205, Oakland, CA 94612 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| 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 |
|---|---|---|---|---|
| 1346862166 | Tiffany L Sum | Dentist | 1411 E 31st St Bldg E2, Oakland, CA 94602-1092 | 2020-05-14 |
| 1427607910 | Karen Chong | Dentist | 3040 E 9th St Ste D, Oakland, CA 94601-2938 | 2019-09-06 |
| 1548817323 | Dr. Choi, Dmd, Inc. | Dentist | 3511 International Blvd, Oakland, CA 94601-3521 | 2019-08-26 |
| 1447818760 | Eric Daniel Deschenes | Dentist | 6200 Antioch St Ste 201, Oakland, CA 94611-2954 | 2019-06-01 |
| 1154801439 | Tao Zhou | Dentist | 125 2nd St Apt 806, Oakland, CA 94607-4568 | 2018-08-16 |
| 1568957157 | Carmen Ruth | Dentist | 14710 Tn-194, Oakland, TN 38060 | 2018-06-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1093233454 | Scott Yoo Dds Dental Corp | Dentist | 2710 Telegraph Ave Ste 250, Oakland, CA 94612-1776 | 2017-09-06 |
| 1093246795 | Said Jalil Sadri | Dentist | 5939 La Salle Ave, Oakland, CA 94611-3225 | 2017-03-23 |
| 1841651635 | Phillip Wayne Olrich | Dentist | 407 41st St, Oakland, CA 94609-2510 | 2016-03-08 |
| Find all providers in OAKLAND | ||||
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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.