GRACE CABILDO-RIVERA A PROFESSIONAL DENTAL CORPORATION (NPI# 1215953112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215953112 |
| Entity Type | Organization |
| Organization Name | GRACE CABILDO-RIVERA A PROFESSIONAL DENTAL CORPORATION |
| Other Organization Name | NEW CITY DENTAL PRACTICE |
| Practice Address |
4847 Lone Tree Way Ste B Antioch CA 94531-8612 |
| Practice Telephone | 9257554040 |
| Practice Fax Number | 9257554041 |
| Mailing Telephone | 9257554040 |
| Mailing Fax Number | 9257554041 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | GRACE CABILDO RIVERA (DOCTOR/OWNER) |
| Authorized Official Telephone | 9257554040 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48364 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HEALTHY FAMILIES PROVIDER | B48364-01 | 01 |
| CA | G9337801 | 05 | |
| CA | UNITED CONCORDIA PROVIDER | 1332285 | 01 |
| CA | OLD TAX I.D NUMBER | 341996792 | 01 |
| Other Name | Type Code |
|---|---|
| new city dental practice | Doing Business As Name - Organization |
| Street Address |
4847 LONE TREE WAY STE B |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-8612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528266160 | Grace C Rivera | Dentist | 4847 Lone Tree Way Ste B, Antioch, CA 94531-8612 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538729827 | Richland Creek Dental Group, Pllc | Dentist | 3538 Murfreesboro Pike Ste 305, Antioch, TN 37013-2580 | 2019-06-18 |
| 1043730997 | Tremayne L Richard | Dentist | 712 Saxony Lake Dr, Antioch, TN 37013-6701 | 2017-06-21 |
| 1063876274 | Nina Moslehi | Dentist | 3107 Lone Tree Way Ste A, Antioch, CA 94509-4959 | 2016-04-13 |
| 1811352545 | Rodrigo Martell | Dentist | 710 W 10th Street, Antioch, CA 94509-1561 | 2015-12-23 |
| 1487928214 | Wilma Pelaez Valerio | Dentist | 4847 Lone Tree Way, Antioch, CA 94531-8611 | 2012-02-24 |
| 1023380870 | Ana Cristina Lorenzana | Dentist | 716 W 10th St, Antioch, CA 94509-1561 | 2012-02-08 |
| 1447566369 | Mark F. Simkins | Dentist | 2730 Lone Tree Way Ste 2, Antioch, CA 94509-4964 | 2010-08-30 |
| 1942525357 | Concord Mills Family Dentistry Pllc | Dentist | 6438 Nolensville Pike, Antioch, TN 37013 | 2010-03-30 |
| 1235469628 | Valora C Legaspi | Dentist | 3379 Deer Valley Rd, Antioch, CA 94531-6664 | 2010-01-06 |
| 1578892915 | Heartland Dental Care of Tennessee, PC | Dentist | 1315 Bell Road, Antioch, TN 37013-3077 | 2009-12-14 |
| Find all providers in ANTIOCH | ||||
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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.