REBECCA JARDINE, DDS, INC. (NPI# 1083212591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083212591 |
| Entity Type | Organization |
| Organization Name | REBECCA JARDINE, DDS, INC. |
| Practice Address |
915 Village Ctr Lafayette CA 94549-3504 |
| Mailing Address |
75 California Ave Orinda CA 94563-2105 |
| Practice Telephone | 5104146840 |
| Mailing Telephone | 5104146840 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | REBECCA JARDINE (OWNER) |
| Authorized Official Telephone | 5104146840 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
915 VILLAGE CTR |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790888741 | Rebecca Jardine | Dentist | 915 Village Ctr, Lafayette, CA 94549-3504 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728934 | Angela F. Bayat Dds Apdc | Clinic/Center | 895 Moraga Rd Ste 5, Lafayette, CA 94549-5039 | 2019-03-05 |
| 1689146920 | Raelene Fulford Dds Pllc | Clinic/Center | 110 Old Laramie Trl Ste 105, Lafayette, CO 80026-7010 | 2018-12-27 |
| 1750724613 | Shane T Cope LLC | Clinic/Center | 4921 State Road 26 E, Suite 100, Lafayette, IN 47905-4608 | 2013-04-10 |
| 1760761704 | Batliner Dental Health, Pllc | Clinic/Center | 2695 N Park Dr, Suite 104, Lafayette, CO 80026-3177 | 2011-08-09 |
| 1063681914 | Imagdent Acadiana, L.L.C. | Clinic/Center | 1225 Coolidge Blvd, Lafayette, LA 70503-2620 | 2008-02-25 |
| 1932718335 | Lafayette Endodontics, LLC | Clinic/Center | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2020-07-31 |
| 1245861665 | Taylor Houston Shank, Dds, A Professional Dental Corporation | Clinic/Center | 313 E Main St, Lafayette, LA 70501-8061 | 2020-02-04 |
| 1952872194 | Tfdc- Lafayette, LLC | Clinic/Center | 121 Rue Louis Xiv, Ste 2, Lafayette, LA 70508 | 2018-12-16 |
| 1407364730 | Vintage L Delahoussaye Dds Apdc | Clinic/Center | 1144 Coolidge Blvd Ste A, Lafayette, LA 70503-2622 | 2018-01-22 |
| 1629428602 | Dr Casey Weber Dds LLC | Clinic/Center | 1601 Kaliste Saloom Rd, Lafayette, LA 70508-6109 | 2016-06-21 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on REBECCA JARDINE, DDS, INC..
| 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.