CAROLYN MARIE CHONG (NPI# 1255438172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255438172 |
Entity Type | Individual |
Full Name | CAROLYN MARIE CHONG |
Credential | D.D.S., M.S. |
Practice Address |
2850 Telegraph Ave Suite 202 Berkeley CA 94705-1192 |
Practice Telephone | 5108416357 |
Practice Fax Number | 5108418566 |
Mailing Telephone | 5108416357 |
Mailing Fax Number | 5108418566 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-08-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223E0200X |
Dentist Specialization: Endodontics |
DT-2001 | HI | Dental Providers |
Y | 1223E0200X |
Dentist Specialization: Endodontics |
47602 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346477148 | Carolyn E Chong | Dentist | 15455 Jeffrey Rd, Suite 310, Irvine, CA 92618-4100 | 2009-06-18 |
Street Address |
2850 TELEGRAPH AVE SUITE 202 |
City | BERKELEY |
State | CA |
Zip Code | 94705-1192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992743579 | Molly Detgen Magnano | Internal Medicine | 2850 Telegraph Ave, 120, Berkeley, CA 94705-1192 | 2006-06-03 |
1861848046 | Sutter Bay Medical Foundation | Clinical Medical Laboratory | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1192 | 2016-05-06 |
1932587441 | Brian Cheung | Dentist | 2850 Telegraph Ave, Suite 202, Berkeley, CA 94705-1192 | 2015-05-16 |
1285998609 | Nihar U Shah | Internal Medicine | 2850 Telegraph Ave, Berkeley, CA 94705 | 2012-06-29 |
1992963920 | Joshua Elan Kuluva | Psychiatry & Neurology | 2850 Telegraph Ave, Suite 110, Berkeley, CA 94705-1192 | 2008-05-27 |
1093972382 | Vinod Kurupath | Internal Medicine | 2850 Telegraph Ave, Suite 120, Berkeley, CA 94705-1192 | 2008-05-22 |
1265640387 | Rita Ophelia Kwan-feinberg | Surgery | 2850 Telegraph Ave, Suite 120, Berkeley, CA 94705-1192 | 2007-05-21 |
1801974696 | Michelle Shute | Internal Medicine | 2850 Telegraph Ave, Suite #130, Berkeley, CA 94705-1159 | 2006-11-01 |
1801997051 | Donna Ann Jacobsen | Family Medicine | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1192 | 2006-09-26 |
1386746840 | James Vernon Anderson | Dentist | 2850 Telegraph Ave, Suite 202, Berkeley, CA 94705-1192 | 2006-09-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
Find all providers in zip 94705 |
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 |
---|---|---|---|---|
1427520006 | O'callaghan Dds Inc | Dentist | 2999 Regent St Ste 727, Berkeley, CA 94705-2122 | 2018-12-20 |
1164523668 | Silvia Cristina Mafra Cecchini | Dentist | 2850 Telegraph Ave Ste 202, Berkeley, CA 94705-1192 | 2006-09-26 |
1184894941 | Matthew James Nealon | Dentist | 3017 Telegraph Ave, Suite 200, Berkeley, CA 94705-2049 | 2008-03-08 |
1871692590 | James Ys Ho | Dentist | 3017 Telegraph Ave, Suite 200, Berkeley, CA 94705-2049 | 2006-09-21 |
1760585376 | James Y S Ho Dmd Inc | Dentist | 3017 Telegraph Ave, Suite 200, Berkeley, CA 94705-2049 | 2006-09-07 |
1386746840 | James Vernon Anderson | Dentist | 2850 Telegraph Ave, Suite 202, Berkeley, CA 94705-1192 | 2006-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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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.