JACK H KOUMJIAN (NPI# 1073629390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073629390 |
Entity Type | Individual |
Full Name | JACK H KOUMJIAN |
Credential | DDS |
Practice Address |
770 Welch Rd Ste 280 Palo Alto CA 94304-1513 |
Practice Telephone | 6503473426 |
Practice Fax Number | 6503240103 |
Mailing Telephone | 6503473426 |
Mailing Fax Number | 6503240103 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-12-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
327301 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DENTICAL | 1073629390 | 01 |
Street Address |
770 WELCH RD STE 280 |
City | PALO ALTO |
State | CA |
Zip Code | 94304-1513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326009572 | Gordon K. Lee | Surgery | 770 Welch Rd, Suite 400, Mailcode 5715, Palo Alto, CA 94304-1511 | 2006-03-29 |
1558978643 | Mayra Flores | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2020-09-23 |
1730693037 | Emily Cummings Hardy | Midwife | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-11-22 |
1801316153 | Laurel Kathleen Back Kent | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-06-27 |
1184151573 | Lucile Packard Children's Hospital | General Acute Care Hospital | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-05-16 |
1144753898 | Alexander Li | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Attn: Alexander Li, Plastic Surgery, Palo Alto, CA 94304-1511 | 2017-04-10 |
1477907665 | Janos Barrera | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2016-04-14 |
1750735999 | Anna Zhou | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Suite 400, Palo Alto, CA 94304-1511 | 2016-04-13 |
1174907083 | Zeshaan Maan | Surgery | 770 Welch Rd, 4th Floor, Plastic Surgery Office, Palo Alto, CA 94304-1511 | 2015-07-10 |
1437546561 | Travis Joseph Miller | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Suite 400, Palo Alto, CA 94304-1511 | 2015-04-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
Find all providers in zip 94304 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144661075 | Andrea Elizabeth Jordan | Dentist | 1691 El Camino Real, Suite 200, Palo Alto, CA 94306-1053 | 2013-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JACK H KOUMJIAN.
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.