DR. ERICA LYNN SHOOK (NPI# 1154558989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154558989 |
Entity Type | Individual |
Full Name | DR. ERICA LYNN SHOOK |
Credential | DDS |
Practice Address |
3600 Broadway Ste 41 Oakland CA 94611-5730 |
Practice Telephone | (510) 752-6821 |
Mailing Telephone | (510) 752-6821 |
Enumeration Date | 2009-06-19 |
Last Update Date | 2017-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
60483 | CA | Dental Providers |
Street Address |
3600 BROADWAY STE 41 |
City | OAKLAND |
State | CA |
Zip Code | 94611-5730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
Find all providers in zip 94611 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184144248 | Brian Goo | Dentist | 1411 E 31st St # E2, Oakland, CA 94602-1018 | 2017-06-21 |
1154611390 | Alex R Mcdonald | Dentist | 3300 Webster St., 810, Oakland, CA 94609-3117 | 2011-04-08 |
1265562466 | Theodore Ng | Dentist | 1814 Franklin St Ste 100, Oakland, CA 94612-3439 | 2007-03-06 |
1710027917 | Larry Victor Franz | Dentist | 1624 Franklin Street, Suite 810, Oakland, CA 94612-2823 | 2007-02-07 |
1225191042 | William Raymond Murphy Sr. | Dentist | 560 29th St, Oakland, CA 94609-3513 | 2006-12-19 |
1215998315 | Anup Muduli | Dentist | 180 Ramapo Valley Rd, Oakland, NJ 07436-2524 | 2006-03-29 |
1740821396 | Sean T Lee | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-04 |
1568024115 | Kristin Lauren Lee | Dentist | Highland Hospital, 1411 E 31st St., Oakland, CA 94602 | 2019-07-03 |
1083177257 | Andrew Rich | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-04-12 |
1073029617 | Rachel Christine Chapa | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2017-12-19 |
Find all providers in OAKLAND |
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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.