PHELPS DENTAL CORPORATION (NPI# 1861974289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861974289 |
| Entity Type | Organization |
| Organization Name | PHELPS DENTAL CORPORATION |
| Other Organization Name | NOR CAL AIRWAY |
| Practice Address |
2075 Forest Ave Ste 6 San Jose CA 95128-4812 |
| Practice Telephone | 4088281756 |
| Mailing Telephone | 4088281756 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | DR. ERIC PHELPS (DR.) |
| Authorized Official Telephone | 4088281756 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
48763 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Nor Cal Airway | Doing Business As Name - Organization |
| Street Address |
2075 FOREST AVE STE 6 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255533279 | Jennifer Q Luu | Dentist | 2075 Forest Ave Ste 6, San Jose, CA 95128-4812 | 2007-06-01 |
| 1487844577 | Anthony Pio Vitarelli | Dentist | 2075 Forest Ave Ste 6, San Jose, CA 95128-4812 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281141 | Guneet Kaur-kohli Kainth | Dentist | 1087 Quail Creek Cir, San Jose, CA 95120-4166 | 2020-06-30 |
| 1992264295 | Karina Carrou Lee | Dentist | 1095 E Brokaw Rd Ste 40, San Jose, CA 95131-2321 | 2019-03-16 |
| 1447733407 | Jonathan Michael Drew | Dentist | 3240 Finch Dr, San Jose, CA 95117-3512 | 2018-09-14 |
| 1942662457 | Phan, Rawlins & Lyons Dds Inc | Dentist | 6942 Almaden Expy # 11, San Jose, CA 95120-3201 | 2016-03-23 |
| 1902248966 | Jason Chun-sheng Hsieh | Dentist | 1040 Avondale St, San Jose, CA 95129-2801 | 2013-07-19 |
| 1699034017 | Eric Phelps, Dds, Ms and Jason Cohen, Dds, N | Dentist | 2075 Forest Ave., Ste. 2, San Jose, CA 95128-4812 | 2012-05-04 |
| 1093091472 | Baokhanh Nguyen | Dentist | 827 Blossom Hill Rd Ste W4, San Jose, CA 95123-2701 | 2011-10-28 |
| 1023329091 | Michael L Stepovich | Dentist | 4110 Moorpark Ave Ste G, San Jose, CA 95117-1712 | 2010-06-24 |
| 1598996035 | Linda Huynh | Dentist | 5595 Winfield Blvd Ste 206, San Jose, CA 95123-1220 | 2009-07-31 |
| 1619122751 | Chandra Thanh-chuong Pham | Dentist | 3270 Landess Ave, San Jose, CA 95132-1230 | 2008-11-17 |
| Find all providers in SAN JOSE | ||||
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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.