MICHAEL STEVEN PHELPS


Address: 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821
Phone: 9164834379

MICHAEL STEVEN PHELPS (NPI# 1013075308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013075308
Entity Type Individual
Full Name MICHAEL STEVEN PHELPS
Credential DDS
Practice Address 4350 Marconi Avenue
Suite 200
Sacramento
CA 95821
Practice Telephone 9164834379
Practice Fax Number 9164834141
Mailing Telephone 9164834379
Mailing Fax Number 9164834141
Enumeration Date 2006-12-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
34403 CA Dental Providers

Other Providers MICHAEL PHELPS

NPI Name Taxonomy Address Enumeration
1699060780 Michael Keith Phelps Family Medicine 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 2011-06-16
1275519555 Michael Anthony Phelps Chiropractor 690 E Morgan St, Martinsville, IN 46151-1640 2005-12-19
1811533243 Michael Phelps Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2019-11-20
1801454046 Michael Phelps Nurse Practitioner 160 Academy Ave, Greenwood, SC 29646-3808 2019-06-03
1043635329 Michael Phelps Case Manager/Care Coordinator 509 Ne Alberta St, Portland, OR 97211-3976 2014-02-24
1427196591 Michael Alan Phelps Anesthesiology 600 N Wolfe St, Baltimore, MD 21287-0005 2007-02-02
1366407769 Michael H Phelps Internal Medicine 5300 State Road 64, Suite 101, Georgetown, IN 47122-9178 2006-04-19
1073583308 Michael A Phelps Surgery 1228 E Rusholme St, Suite 3020, Davenport, IA 52803 2006-01-26

Office Location

Street Address 4350 MARCONI AVENUE
SUITE 200
City SACRAMENTO
State CA
Zip Code 95821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528126828 Christopher James Kane Dentist 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 2006-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972100717 Denise Renee Landgraf Licensed Vocational Nurse 3615 Marconi Ave, Sacramento, CA 95821 2020-10-05
1770053258 Oksana A Shutkova Behavior Technician 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 2018-11-28
1871063420 Otto Bock Orthopedic Services LLC Durable Medical Equipment & Medical Supplies 3800 Watt Avenue Suite 151, Sacramento, CA 95821 2018-11-27
1386123438 Rene William Villanueva Marriage & Family Therapist 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 2018-08-09
1558853135 Behavioral Health Solutions of The Pacific Clinic/Center 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 2018-05-31
1679064091 Carrissa Jean Angelique Bishop Counselor 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 2018-05-21
1164943049 Vanessa Selene Tinajero Social Worker 3615 Macorni Ave, Sacramento, CA 95821 2017-06-30
1316488562 Lucas Hansen Student in an Organized Health Care Education/Training Program 3007 Clairidge Oak Ct, Sacramento, CA 95821 2017-03-20
1215383054 Mark Brufladt Physical Therapy Assistant 3548 Ardmore Rd, Sacramento, CA 95821 2016-05-11
1053782789 Marianna Jakucska Marriage & Family Therapist 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 2015-10-07
Find all providers in zip 95821

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588197156 Alex Antipov Dental Corp Dentist 8759 Center Pkwy, Sacramento, CA 95823-7682 2017-04-10
1376961334 Greggory Bryan Irving Dentist 1110 Corporate Way # 200, Sacramento, CA 95831-3875 2014-04-06
1639383672 Sacramento Oral Surgery Dentist 2503 K Street, Sacramento, CA 95816 2007-05-09
1225151426 Theodore W Klein Dentist 7229 S Land Park Dr, Sacramento, CA 95831-3611 2007-04-10
1417002783 Brian Lee Royse Dentist 2503 K St, Sacramento, CA 95816-5101 2007-01-24
1982752358 Franklin Anthony Niggebrugge Dentist 1737 Professional Dr, Sacramento, CA 95825-2104 2007-01-08
1407903131 Grace Unehae Lee Dentist 3604 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7256 2007-01-04
1962561340 Reza Fouladi Dentist 7551 Timberlake Way Ste 120, Sacramento, CA 95823-5421 2006-12-08
1831121250 Mark Allan Weiner Dentist 2525 K St Ste 101, Sacramento, CA 95816-5114 2006-07-07
1851320584 Jagdev Singh Heir Dentist 4170 Truxel Rd, Suite C, Sacramento, CA 95834-3758 2006-07-03
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95821

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Dataset Information

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.

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