CLAYTON T. KODAMA, DDS, INC. (NPI# 1942692579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942692579 |
| Entity Type | Organization |
| Organization Name | CLAYTON T. KODAMA, DDS, INC. |
| Practice Address |
7225 N 1st St Suite 107 Fresno CA 93720-2986 |
| Practice Telephone | 5594313806 |
| Practice Fax Number | 5594316832 |
| Mailing Telephone | 5594313806 |
| Mailing Fax Number | 5594316832 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | DR. CLAYTON TATSUO KODAMA (OWNER) |
| Authorized Official Telephone | 5594313806 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DF036165 | CA | Dental Providers |
| Street Address |
7225 N 1ST ST SUITE 107 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730302209 | Roxanne Foster | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2007-04-11 |
| 1912370388 | Thomas Hamilton | Counselor | 7225 N 1st St, P 0 Box 27707, Fresno, CA 93720-2986 | 2015-11-07 |
| 1366827453 | Danielle Michelle Mccarty | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2015-07-30 |
| 1083098180 | Kalyn Tachovaka | Counselor | 7225 N 1st St, Ste 101, Fresno, CA 93720-2986 | 2015-07-17 |
| 1891179149 | Juan Pena | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2015-07-16 |
| 1669856845 | Angela Yvette Velasco | Counselor | 7225 N 1st St, Ste. 101, Fresno, CA 93720-2986 | 2015-07-16 |
| 1376927780 | Jasneelam Kaur | Counselor | 7225 N 1st St, Fresno, CA 93720-2986 | 2015-07-15 |
| 1679964621 | Richell Hagy | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2015-02-12 |
| 1043618069 | Michele Himes | Counselor | 7225 N 1st St, #101, Fresno, CA 93720-2986 | 2014-12-08 |
| 1760889802 | Megan Strickland | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| 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 |
|---|---|---|---|---|
| 1336752971 | Mauricio Rubio | Dentist | 5336 E Truman Ave, Fresno, CA 93725-0934 | 2020-08-24 |
| 1205458767 | Gene Park | Dentist | 1367 E Saint James Cir, Fresno, CA 93720-1417 | 2020-05-07 |
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1336793488 | Harry Gill | Dentist | 5492 N Palm Ave Ste A, Fresno, CA 93704-1960 | 2019-07-26 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1295209823 | Western Dental Services, Inc. | Dentist | 5776 N Blackstone Ave Ste 104, Fresno, CA 93710-5026 | 2019-01-16 |
| 1922570134 | Charles Keith Diddy | Dentist | 5637 N Palm Ave Apt B, Fresno, CA 93704-1829 | 2018-12-28 |
| 1659847549 | S Mavi,d.d.s., Incorporated | Dentist | 4007 N Marks Ave Ste 102, Fresno, CA 93722-4555 | 2018-10-17 |
| 1558875633 | Manbir Kaur Sandhu | Dentist | 605 S Shelly Ave, Fresno, CA 93727-6570 | 2017-11-28 |
| 1699285148 | Joann Alvine Levy | Dentist | 2179 E Olympic Ave, Fresno, CA 93730-5157 | 2017-10-10 |
| Find all providers in FRESNO | ||||
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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.