PHAN, RAWLINS & LYONS DDS INC (NPI# 1942662457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942662457 |
| Entity Type | Organization |
| Organization Name | PHAN, RAWLINS & LYONS DDS INC |
| Other Organization Name | SURFSIDE KIDS DENTAL |
| Practice Address |
6942 Almaden Expy # 11 San Jose CA 95120-3201 |
| Mailing Address |
Po Box 4785 El Dorado Hills CA 95762-0024 |
| Practice Telephone | 4802358541 |
| Mailing Telephone | 9162299941 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | JOSEPH RAWLINS (PRESIDENT) |
| Authorized Official Telephone | 9162299941 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
51968 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
56958 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Surfside Kids Dental | Doing Business As Name - Organization |
| Street Address |
6942 ALMADEN EXPY # 11 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95120-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117554 | Karen Patterson | Speech-Language Pathologist | 6052 Cecala Dr, San Jose, CA 95120 | 2019-01-09 |
| 1881116705 | Geetha M Narayanan | Marriage & Family Therapist | 1051 Mountain Shadows Road, San Jose, CA 95120 | 2017-07-12 |
| 1164849592 | Vicente Ceja | Physical Therapist | 6155 Almaden Expy., # 150, San Jose, CA 95120 | 2014-03-24 |
| 1881018562 | Kirsten Cooper | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2014-02-14 |
| 1699034587 | Mahboobe Ahmadi | Speech-Language Pathologist | 6554 Mcabee Rd., San Jose, CA 95120 | 2012-05-11 |
| 1679860142 | Nicole L Lewis | Family Medicine | 6475 Camden Ave Ste 105, San Jose, CA 95120 | 2011-07-06 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1851513659 | Abir Tadros | Dentist | 1041 Mazzone Dr., San Jose, CA 95120 | 2007-05-02 |
| 1053472365 | Clara Nancy Andirious | Dentist | 6472 Camden Ave., Suite 100, San Jose, CA 95120 | 2006-12-12 |
| 1104922384 | Timothy Tuan Lai | Dentist | 5945 Almaden Expressway, Suite #160, San Jose, CA 95120 | 2006-09-15 |
| Find all providers in zip 95120 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932512647 | Agelina Paek | Dentist | 6942 Almaden Expy, San Jose, CA 95120-3201 | 2014-06-10 |
| 1053748608 | Vincent D Van | Dentist | 1771 Trudean Way, San Jose, CA 95132-1540 | 2013-09-27 |
| 1013265602 | Nguyen and Tran Dental Corporation | Dentist | 2680 S White Rd Ste 255, San Jose, CA 95148-2080 | 2012-08-29 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1962792887 | My Phuong Pham | Dentist | 2810 Deerwood Dr, San Jose, CA 95148-2625 | 2011-04-12 |
| 1124272919 | Suzanne Nguyen | Dentist | 1569 Lexann Ave Ste 222, San Jose, CA 95121-1795 | 2008-11-06 |
| 1609041482 | Scott Jacks, Dds, Inc | Dentist | 1153 S King Rd, San Jose, CA 95122-2144 | 2008-04-23 |
| 1891847596 | Cyrus M Akhbari I | Dentist | 1201 Park Ave, Suite#2, San Jose, CA 95126-2919 | 2007-01-16 |
| 1003980194 | Joseph Derek Fridgen | Dentist | 189 N Bascom Ave Ste 200, San Jose, CA 95128-1869 | 2006-11-20 |
| 1700957297 | Marilou D Navarro | Dentist | 750 N Capitol Ave Ste C2, San Jose, CA 95133-1942 | 2006-11-13 |
| 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.