MAXIMO DANIEL MEZA-CRESPO (NPI# 1275636870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275636870 |
Entity Type | Individual |
Full Name | MAXIMO DANIEL MEZA-CRESPO |
Credential | DDS |
Practice Address |
3177 Ocean View Blvd San Diego CA 92113-1432 |
Mailing Address |
1275 30th St San Diego CA 92154-3476 |
Practice Telephone | 6196624100 |
Practice Fax Number | 6192325922 |
Mailing Telephone | 6196624100 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2015-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 42572 | CA | Dental Providers |
Street Address |
3177 OCEAN VIEW BLVD |
City | SAN DIEGO |
State | CA |
Zip Code | 92113-1432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407855828 | Emily Christine Rall | Physician Assistant | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2005-07-18 |
1124680061 | Joshua Dan Herrera | Health Educator | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2019-07-01 |
1619458213 | Kim Long Thi Vo | Pharmacist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2018-08-22 |
1033622238 | Rhiannon Cardeiro | Dental Hygienist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-11-09 |
1063945657 | Alejandra Melissa Morales | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-04-10 |
1912438250 | Michaela Staley | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-03-27 |
1689037111 | Amanda Karla Dappen | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113 | 2016-04-01 |
1821467655 | Samantha Anne Melzer | Dentist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2015-09-23 |
1255747374 | Raechel Taylor | Student in an Organized Health Care Education/Training Program | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-07-09 |
1043631492 | Joseph Paul Stephen Mayer | Social Worker | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-01-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
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Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
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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.