DR. AMY JO ARBOGAST (NPI# 1790833341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790833341 |
| Entity Type | Individual |
| Full Name | DR. AMY JO ARBOGAST |
| Credential | D.D.S. |
| Practice Address |
805 E Mockingbird Ln Suite A Victoria TX 77904-2145 |
| Practice Telephone | 3614859607 |
| Practice Fax Number | 3614859613 |
| Mailing Telephone | 3614859607 |
| Mailing Fax Number | 3614859613 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19159 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CHIPS | B19159 | 01 |
| TX | BLUE CROSS | D19159 | 01 |
| Street Address |
805 E MOCKINGBIRD LN SUITE A |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225118300 | Charles E. Rader, D.d.s. | Dentist | 805 E Mockingbird Ln, Suite A, Victoria, TX 77904-2145 | 2006-10-16 |
| 1164620241 | Drs.malik&malik | Dentist | 805 E Mockingbird Ln, Suite D, Victoria, TX 77904-2145 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164909974 | Kaylea Ann Orsak | Dentist | 8809 N Navarro St Ste 100, Victoria, TX 77904-1427 | 2018-07-24 |
| 1255706685 | New Caney Dental Pllc | Dentist | 4109 Houston Hwy, Victoria, TX 77901-4700 | 2015-12-10 |
| 1104232172 | Lisa Heinrich-null Dds | Dentist | 6701 N Navarro St, Victoria, TX 77904-1513 | 2014-07-10 |
| 1336555804 | Senan Abd | Dentist | 1505 E Rio Grande St # 120, Victoria, TX 77901-7396 | 2014-07-06 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1013205509 | Allyson Kay Bauch-friedrich | Dentist | 1505 E Rio Grande St Ste 120, Victoria, TX 77901-7397 | 2011-07-18 |
| 1710152749 | Victoria Dental Assoicates | Dentist | 304 Salem Rd, Victoria, TX 77904-1742 | 2008-04-30 |
| 1699890608 | Richard Holmes Heard Jr. | Dentist | 107 Professional Park Dr, Victoria, TX 77904-2351 | 2007-03-20 |
| 1871634329 | Swinford C Wilson Dds Inc | Dentist | 104 Professional Park Dr, Victoria, TX 77904-2351 | 2007-02-09 |
| 1184793630 | Lisa Ann Heinrich-null | Dentist | 507 E Brazos St, Victoria, TX 77901-5261 | 2006-11-07 |
| Find all providers in VICTORIA | ||||
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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.