DR. HERBERT RANDALL HARRISON (NPI# 1306040613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306040613 |
| Entity Type | Individual |
| Full Name | DR. HERBERT RANDALL HARRISON |
| Credential | DDS |
| Practice Address |
2522 Dana St Ste 105 Berkeley CA 94704 |
| Mailing Address |
2522 Dana St Ste 105 Berkeley CA 94704-2803 |
| Practice Telephone | 5106660737 |
| Mailing Telephone | 5106660737 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D21894 | CA | Dental Providers |
| Street Address |
2522 DANA ST STE 105 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588735245 | Richard M.a. Berger | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2803 | 2006-11-13 |
| 1346660404 | Berkeleyorinda Oral Surgery | Clinic/Center | 2522 Dana St, Suite 202, Berkeley, CA 94704-2895 | 2014-04-16 |
| 1649528027 | Craig Y. Bloom,dmd,richard M.a. Berger, Dds, Bryan R. Krey, Dmd,apc & | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2895 | 2012-08-16 |
| 1194057174 | Craig Y. Bloom,dmd, Richard M.a. Berger,dds & Bryan R. Krey, Dmd, Apc | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2895 | 2010-02-02 |
| 1245433796 | Jacquelyn Michele Williams | Dentist | 2522 Dana St, Suite 101, Berkeley, CA 94704-2803 | 2007-06-11 |
| 1073731824 | Bill Thomas Cavalli | Dentist | 2522 Dana St, #207, Berkeley, CA 94704 | 2007-04-24 |
| 1629296991 | Daniel Afshin Mobati | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2895 | 2007-04-23 |
| 1275652844 | Sonja Kae Garden | Dentist | 2522 Dana St, Suite 203, Berkeley, CA 94704 | 2007-03-28 |
| 1841344751 | Craig Yale Bloom | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2803 | 2007-01-22 |
| 1962573634 | Bryan Reed Krey | Dentist | 2522 Dana St, Suite 202, Berkeley, CA 94704-2803 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| 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 |
|---|---|---|---|---|
| 1568027183 | Leila Pakravan | Dentist | 2136 University Ave, Berkeley, CA 94704-1026 | 2019-05-08 |
| 1467921288 | Ethan Do | Dentist | 3017 Telegraph Ave Ste 310, Berkeley, CA 94705-2049 | 2018-11-21 |
| 1497112338 | Theodore Robert Small | Dentist | 1301 Bonita Ave Apt 4, Berkeley, CA 94709-1983 | 2016-01-22 |
| 1962817882 | Ian Iwane Dds | Dentist | 1536 Blake St, None, Berkeley, CA 94703-1806 | 2014-06-30 |
| 1932549235 | Erwin Yeh | Dentist | 1502 Walnut St Ste D, Berkeley, CA 94709-1563 | 2013-07-01 |
| 1144663766 | Alicia Applin | Dentist | 2812 Piedmont Ave, Berkeley, CA 94705-2314 | 2013-04-12 |
| 1588969919 | Martin L Goldman | Dentist | 900 Colusa Ave Ste 205-a, Berkeley, CA 94707-2319 | 2011-01-15 |
| 1316256712 | Anthony Murray Dailley | Dentist | 2999 Regent St Ste 302, Berkeley, CA 94705-2118 | 2010-10-02 |
| 1912239567 | Lindsey Koida | Dentist | 909 University Ave., Berkeley, CA 94710 | 2010-02-08 |
| 1568690824 | Brian Marc Assael | Dentist | 2459a Ashby Ave, Berkeley, CA 94705 | 2009-06-25 |
| Find all providers in BERKELEY | ||||
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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.