DR. KRISTI WAGNER (NPI# 1285765362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285765362 |
| Entity Type | Individual |
| Full Name | DR. KRISTI WAGNER |
| Credential | DDS MS |
| Practice Address |
2734 Delta Fair Blvd Antioch CA 94509-4100 |
| Practice Telephone | 9257781234 |
| Practice Fax Number | 9257783012 |
| Mailing Telephone | 9257781234 |
| Mailing Fax Number | 9257783012 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
60060 | CA | Dental Providers |
| Street Address |
2734 DELTA FAIR BLVD |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962541078 | Babak Khayatan | Dentist | 2734 Delta Fair Blvd, Antioch, CA 94509-4100 | 2007-02-05 |
| 1639648413 | Babak Khayatan Dds Inc. | Dentist | 2734 Delta Fair Blvd, Antioch, CA 94509-4100 | 2018-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1487843728 | David Shen Dental Corp | Dentist | 5117 Lone Tree Way, Antioch, CA 94531 | 2007-10-23 |
| 1073657458 | John Esterkyn | Dentist | 2901 Lone Tree Way Ste D, Antioch, CA 94509-4963 | 2007-02-18 |
| 1003479841 | John I Esterkyn Dds Ms Inc | Dentist | 2390 Country Hills Dr, Antioch, CA 94509-7437 | 2019-04-17 |
| 1629511431 | David Barclay Dowling D.d.s. of Utah, P.C. | Dentist | 601 Bakertown Rd, Antioch, TN 37013-2657 | 2016-11-28 |
| 1124561931 | David Barclay Dowling D.d.s. of Texas, P.C. | Dentist | 601 Bakertown Rd, Antioch, TN 37013-2657 | 2016-11-28 |
| 1144596859 | David A Cain | Dentist | 3432 Hillcrest Ave, Suite 225, Antioch, CA 94531-6301 | 2012-03-27 |
| 1164754016 | Kozak Orthodontics, P.C. | Dentist | 1326 Main St, Suite B, Antioch, IL 60002-2181 | 2010-02-03 |
| 1659579993 | Frank M. Hann | Dentist | 2225 Buchanan Rd, Suite F, Antioch, CA 94509-4209 | 2007-07-09 |
| 1912065038 | Stephen Yang | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2006-12-04 |
| 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.