DR. CLYDE STEVEN IKEDA (NPI# 1316093552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316093552 |
| Entity Type | Individual |
| Full Name | DR. CLYDE STEVEN IKEDA |
| Credential | D.D.S. |
| Practice Address |
2503 Professional Pkwy Santa Maria CA 93455-1657 |
| Practice Telephone | 8059344500 |
| Practice Fax Number | 8059345263 |
| Mailing Telephone | 8059344500 |
| Mailing Fax Number | 8059345263 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30699 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548232556 | Clyde J Ikeda | Plastic Surgery | 1199 Bush St, Ste 640, San Francisco, CA 94109 | 2006-02-03 |
| Street Address |
2503 PROFESSIONAL PKWY |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548321516 | Paraon N Dequiroz, Dds, PC | Clinic/Center | 2503 Professional Pkwy, Santa Maria, CA 93455-1657 | 2006-12-13 |
| 1679057186 | Pn Dequiroz Dds Inc | Clinic/Center | 2503 Professional Pkwy, Santa Maria, CA 93455-1657 | 2018-09-20 |
| 1801268883 | Paraon Nolasc Dequiroz | Dentist | 2503 Professional Pkwy, Santa Maria, CA 93455-1657 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| 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 |
|---|---|---|---|---|
| 1780151506 | Brian Turton | Dentist | 1157 E Clark Ave Ste A, Santa Maria, CA 93455-5146 | 2018-10-30 |
| 1053887687 | Derek Appelblatt | Dentist | 1670 S Broadway, Santa Maria, CA 93454-7602 | 2018-10-22 |
| 1922541481 | Keith Tam Dds Professional Corp | Dentist | 570 E Betteravia Rd, Ste C, Santa Maria, CA 93454-8805 | 2016-11-30 |
| 1063870319 | Ryan Taylor Blatchley | Dentist | 426 Barcellus Ave Ste 105, Santa Maria, CA 93454-6926 | 2016-02-02 |
| 1437553682 | Jesse Kim,dds.inc | Dentist | 1774 S Broadway, Santa Maria, CA 93454-7604 | 2014-10-17 |
| 1386059103 | Anne Pedersen | Dentist | 1414 S Miller St Ste 8, Santa Maria, CA 93454-6961 | 2014-07-01 |
| 1851728984 | Soon Cheol Kwon | Dentist | 1414 South Miller St., Suite S, Santa Maria, CA 93454 | 2013-10-03 |
| 1346571791 | Pedro A Avendano | Dentist | 4012 Cedarhurst Dr Apt 108, Santa Maria, CA 93455-6403 | 2010-01-25 |
| 1265692800 | Naomi Ishibashi | Dentist | 570 E Betteravia Rd Ste C, Santa Maria, CA 93454 | 2008-06-16 |
| 1578767547 | Matthew P Lane | Dentist | 2506 Professional Pkwy, Santa Maria, CA 93455-1602 | 2007-06-13 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
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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.