DR. CAROL DEBORAH GRIMM (NPI# 1801998364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801998364 |
| Entity Type | Individual |
| Full Name | DR. CAROL DEBORAH GRIMM |
| Credential | D.D.S. |
| Practice Address |
2999 Regent St Suite 403 Berkeley CA 94705-2146 |
| Practice Telephone | 5108436341 |
| Mailing Telephone | 5108436341 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DZ033465 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575436 | Carol S Grimm | Nurse Practitioner | 5702 Bridgetown Rd Apt 8, Street Address 2, Cincinnati, OH 45248 | 2019-12-18 |
| 1558389106 | Carol Jean Grimm | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| Street Address |
2999 REGENT ST SUITE 403 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962487421 | Shahin M Javaheri | Plastic Surgery | 2999 Regent St, Number 626, Berkeley, CA 94705-2146 | 2005-12-07 |
| 1326585449 | Golden Gate Urology Inc | Non-Pharmacy Dispensing Site | 2999 Regent St, Suite 612 & 626, Berkeley, CA 94705-2190 | 2017-01-26 |
| 1639553217 | Susan Su | Optometrist | 2999 Regent St, Suite 425, Berkeley, CA 94705-2190 | 2015-07-14 |
| 1487908802 | Robert J. Stallone M.d., Inc. | Surgery | 2999 Regent St, Suite 622, Berkeley, CA 94705-2190 | 2012-11-07 |
| 1205115128 | Jaikrishna Balkisson,md & Laurie E. Schweitzer, Md | Specialist | 2999 Regent St, 300, Berkeley, CA 94705-2190 | 2011-08-09 |
| 1407150139 | Ryan Lawrence Horn, D.d.s. | Dentist | 2999 Regent St, Suite #403, Berkeley, CA 94705-2190 | 2011-01-10 |
| 1841593472 | Elizabeth Slass Lee A Medical Corporation | Plastic Surgery | 2999 Regent St, Suite 401, Berkeley, CA 94705-2190 | 2010-12-21 |
| 1215191002 | Unilab Corporation | Clinical Medical Laboratory | 2999 Regent St, Suite 101, Berkeley, CA 94705-2146 | 2008-07-11 |
| 1962678979 | Beth Schneider | Acupuncturist | 2999 Regent St, Ste 225, Berkeley, CA 94705-2146 | 2008-04-30 |
| 1023283025 | Williamtennantdds/williamgiannidds | Dentist | 2999 Regent St, Suite 714, Berkeley, CA 94705-2146 | 2008-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235512625 | Nikta Ghaderi | Dentist | 2999 Regent St # 501, Berkeley, CA 94705-2190 | 2015-07-02 |
| 1427077973 | Keith Robert Chertok | Dentist | 2620 Ashby Ave Ste 101, Berkeley, CA 94705-2208 | 2006-07-18 |
| 1407150139 | Ryan Lawrence Horn, D.d.s. | Dentist | 2999 Regent St, Suite #403, Berkeley, CA 94705-2190 | 2011-01-10 |
| 1306086186 | Anand Maharathi | Dentist | 1206 The Alameda, Berkeley, CA 94709-1907 | 2009-03-06 |
| 1164518684 | Pia Lodberg | Dentist | 2999 Regent Street, 403, Berkeley, CA 94705-2146 | 2006-10-04 |
| 1962410423 | John Richard Rech | Dentist | 2999 Regent St, Suite 403, Berkeley, CA 94705-2146 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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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.