CLAY CAMPBELL (NPI# 1780015693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780015693 |
| Entity Type | Individual |
| Full Name | CLAY CAMPBELL |
| Credential | D.D.S. |
| Practice Address |
630 Drake Ave Sausalito CA 94965-1107 |
| Practice Telephone | 4153398813 |
| Mailing Telephone | 4153398813 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 62968 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952497810 | Clay I. Campbell | Family Medicine | 166 So 5th St, Montpelier, ID 83254-1557 | 2006-10-05 |
| Street Address |
630 DRAKE AVE |
| City | SAUSALITO |
| State | CA |
| Zip Code | 94965-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609807049 | Shannon Wozniak | Nurse Practitioner | 630 Drake Ave, Sausalito, CA 94965-1107 | 2006-07-05 |
| 1396215943 | Paula Moreno | Licensed Practical Nurse | 630 Drake Ave, Sausalito, CA 94965-1107 | 2018-11-27 |
| 1831616994 | Jacob Brown | Student in an Organized Health Care Education/Training Program | 630 Drake Ave, Sausalito, CA 94965-1107 | 2017-08-29 |
| 1932629334 | Marin City Health and Wellness Center | Clinic/Center | 630 Drake Ave, Sausalito, CA 94965-1107 | 2017-06-27 |
| 1891171971 | Lisa Robertson Veyssiere | Counselor | 630 Drake Ave, Sausalito, CA 94965-1107 | 2015-07-30 |
| 1184037541 | Reuben Burke | Marriage & Family Therapist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2014-06-03 |
| 1013346154 | Sophie Lartilleux-suberville | Marriage & Family Therapist | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-11-08 |
| 1720425341 | Melissa Anne Rapp | Counselor | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-05-23 |
| 1730522475 | Colin Spake | Registered Nurse | 630 Drake Ave, Sausalito, CA 94965-1107 | 2013-04-11 |
| 1639439193 | Namuun Clifford | Nurse Practitioner | 630 Drake Ave, Sausalito, CA 94965-1107 | 2012-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369423 | Claire Myers | Counselor | 630 Drake Avenue, Csd Building, Marin City, CA 94965 | 2019-07-24 |
| 1750624797 | 10 Minute Fitness Inc. | Durable Medical Equipment & Medical Supplies | 3 Harbor Dr. #112, Sausalito, CA 94965 | 2013-03-28 |
| 1548590169 | Jeffrey James Kacirk | Chiropractor | 80 Harrison Ave, #6, Sausalito, CA 94965 | 2010-01-04 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1811020688 | Parvaneh Bairami | Registered Nurse | 2400 Bridgeway, Suite 200, Sasaulito, CA 94965 | 2007-03-13 |
| 1518027671 | Helen Chandler | Registered Nurse | 13 Braun Court, Sausalito, CA 94965 | 2006-12-11 |
| 1407916224 | Marcus H Small | Marriage & Family Therapist | 639 Drake Ave., Marin City, CA 94965 | 2006-12-11 |
| 1710068085 | Aida C Miles | Dietitian, Registered | 7 Cloudview Trail, Sausalito, CA 94965 | 2006-10-17 |
| 1942308515 | Nancy S. Hollis | Chiropractor | 3a Gate 5 Road, Sausalito, CA 94965 | 2006-09-20 |
| 1205947702 | Edwin J Zinman | Dentist | 220 Bush St, 1600, San Francisco, CA 94965 | 2006-08-31 |
| Find all providers in zip 94965 | ||||
| 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 |
|---|---|---|---|---|
| 1376893040 | Danielle Abramo Levi | Dentist | 30 Caledonia St Ste B, Sausalito, CA 94965-2155 | 2012-09-11 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1033570668 | Dr. Monique Mcquade, Dds | Dentist | 100 South St, #106, Sausalito, CA 94965-2528 | 2016-03-09 |
| 1124235338 | Bruce A. Davey | Dentist | 30 Caledonia St, Ste. B, Sausalito, CA 94965-2179 | 2007-05-17 |
| 1720292246 | Laurence M Brownstein Dds Inc | Dentist | 30 Caledonia St, Sausalito, CA 94965-2179 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
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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.