DR. MICHAEL ROBERT MORENO (NPI# 1356422000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356422000 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT MORENO |
| Credential | DDS |
| Practice Address |
3427 Deer Park Dr Suite #c Stockton CA 95219-2355 |
| Practice Telephone | 2094783036 |
| Practice Fax Number | 2094780258 |
| Mailing Telephone | 2094783036 |
| Mailing Fax Number | 2094780258 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
32491 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255879102 | Michael Moreno | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2017-02-10 |
| 1518116953 | Michael Christopher Moreno | Nurse Anesthetist, Certified Registered | 700 18th St S, Birmingham, AL 35233-1856 | 2008-09-10 |
| 1124284831 | Michael A Moreno | Psychiatry & Neurology | 600 S Paulina St, Suite 527 Acfac, Chicago, IL 60612-3806 | 2008-08-01 |
| 1790837151 | Michael R. Moreno | Family Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-17 |
| 1619906492 | Michael Leonowich Moreno | Dentist | 7939 Honeygo Blvd, Suite 227, Baltimore, MD 21236-4931 | 2006-07-02 |
| Street Address |
3427 DEER PARK DR SUITE #C |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821001314 | Dale E Stocking | Dentist | 3427 Deer Park Dr, Suite D, Stockton, CA 95219-2355 | 2006-08-14 |
| 1982843033 | Nicolas S. Veaco, M.d., D.d.s., A Professional Corporation | Dentist | 3427 Deer Park Dr, Ste B, Stockton, CA 95219-2355 | 2009-02-12 |
| 1063685303 | Veaco Md Dds George Dds Arredondo Dds A Dental Corporation | Dentist | 3427 Deer Park Dr, Sutie B, Stockton, CA 95219-2355 | 2008-04-08 |
| 1033243423 | Thomas E Bianchi | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2007-03-15 |
| 1275669061 | Christopher D Parker | Dentist | 3427 Deer Park Dr, Suite D, Stockton, CA 95219-2355 | 2007-02-26 |
| 1790866309 | Moreno Dental Group, Pdc | Dentist | 3427 Deer Park Dr, Suite #c, Stockton, CA 95219-2355 | 2006-10-18 |
| 1598846230 | Janice Gale Moreno | Dentist | 3427 Deer Park Dr, Suite #c, Stockton, CA 95219-2355 | 2006-10-18 |
| 1083702674 | Matthew R. Stefanac | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-10-10 |
| 1689773145 | Dorene Neri | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-09-21 |
| 1447359294 | William J. Marweg | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700183746 | Mark Edward Buchman | Dentist | 1372 W Robinhood Dr, Suite C, Stockton, CA 95207-5513 | 2011-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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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.