MICHAEL BRUCE TRAGER (NPI# 1104992775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104992775 |
| Entity Type | Individual |
| Full Name | MICHAEL BRUCE TRAGER |
| Credential | D.M.D. |
| Practice Address |
841 Blossom Hill Rd Suite 202 San Jose CA 95123-2704 |
| Practice Telephone | 4082248266 |
| Mailing Telephone | 4082248266 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
28250 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811961014 | Michael C Trager | Internal Medicine | 385 Main St S, Union Square, Southbury, CT 06488 | 2006-02-14 |
| Street Address |
841 BLOSSOM HILL RD SUITE 202 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821044876 | Duke Vincent Fisher | Psychiatry & Neurology | 841 Blossom Hill Rd, Suite 209, San Jose, CA 95123-2704 | 2006-05-25 |
| 1740638055 | Rebecca M Picone | Marriage & Family Therapist | 841 Blossom Hill Rd, Suite 201, San Jose, CA 95123-2704 | 2016-05-26 |
| 1063783066 | Carol Lynn Williams | Registered Nurse | 841 Blossom Hill Rd, Suite 209, San Jose, CA 95123-2704 | 2012-01-23 |
| 1700154572 | Joshua Martin Moreali | Physical Therapist | 841 Blossom Hill Rd, Suite 103, San Jose, CA 95123-2704 | 2011-12-08 |
| 1558505750 | Thinh Duy Mai | Psychiatry & Neurology | 841 Blossom Hill Rd, Ste 209, San Jose, CA 95123-2704 | 2009-05-01 |
| 1811156334 | Terence Lewue Wade | Chiropractor | 841 Blossom Hill Rd, Ste. #107, San Jose, CA 95123-2704 | 2008-06-09 |
| 1558530220 | Regina Gray | Dentist | 841 Blossom Hill Rd, Suite 213, San Jose, CA 95123-2704 | 2008-02-26 |
| 1952570715 | Olga Belova | Dentist | 841 Blossom Hill Rd, Ste 213, San Jose, CA 95123-2704 | 2008-02-26 |
| 1730382987 | Kourosh Langroudi Ghafourpour | Dentist | 841 Blossom Hill Rd, Suite 202, San Jose, CA 95123-2704 | 2007-06-06 |
| 1720110539 | Sharadha Raghavan | Psychiatry & Neurology | 841 Blossom Hill Rd, #207, San Jose, CA 95123 | 2007-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758648 | Yan Kalika Dental Corporation | Dentist | 5130 Stevens Creek Blvd Ste B, San Jose, CA 95129-1019 | 2018-11-08 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1922330620 | Eric J Yokota | Dentist | 1688 Willow St., Suite E, San Jose, CA 95125 | 2010-02-04 |
| 1487894499 | Ramya Ramamurthy | Dentist | 750 N Capitol Ave Ste A1, San Jose, CA 95133-1902 | 2009-03-03 |
| 1265681365 | Gary Wallace Moss | Dentist | 1680 Westwood Dr Ste D, San Jose, CA 95125-5105 | 2008-09-12 |
| 1902027410 | Nava Fathi | Dentist | 2581 Samaritan Dr., Suite 110, San Jose, CA 95124 | 2007-05-01 |
| 1295892115 | Jeffrey V. Merrifield, D.d.s., Inc. | Dentist | 2664 Berryessa Rd Ste 116, San Jose, CA 95132-2906 | 2007-01-02 |
| 1538261458 | Kelly Allyn Conlon | Dentist | 2000 Forest Ave, Suite D, San Jose, CA 95128-4831 | 2006-09-01 |
| 1982712741 | Jeffrey D. Krupp | Dentist | 3994 S Bascom Ave, #5, San Jose, CA 95124-2663 | 2006-08-29 |
| 1952418014 | Gurpreet Singh Narula | Dentist | 150 N Jackson Ave Ste 212, San Jose, CA 95116-1908 | 2006-08-24 |
| 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.