DR. JOHN PICARD (NPI# 1386087104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386087104 |
| Entity Type | Individual |
| Full Name | DR. JOHN PICARD |
| Credential | DMD |
| Practice Address |
916 Washington Ave Suite 230 Bay City MI 48708-5730 |
| Practice Telephone | 9898920440 |
| Practice Fax Number | 9898929888 |
| Mailing Telephone | 9898920440 |
| Mailing Fax Number | 9898929888 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
019.028760 | IL | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2901021209 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134258783 | John Eugene Picard | Optometrist | 10000 Mickleberry Rd, Costco, Silverdale, WA 98383 | 2007-03-02 |
| 1487001376 | John Michael Picard | Student in an Organized Health Care Education/Training Program | 15 York St, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06510-3221 | 2016-05-20 |
| Street Address |
916 WASHINGTON AVE SUITE 230 |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-5730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675981 | Brandan Lee Lebourdais | Dentist | 916 Washington Ave, Ste 325, Bay City, MI 48708-5723 | 2005-11-07 |
| 1659817500 | Remedy Physical Therapy, Plc | Physical Therapist | 916 Washington Ave, Suite 204, Bay City, MI 48708-5730 | 2017-01-17 |
| 1235673229 | Kerry Comissiong Baker | Physical Therapist | 916 Washington Ave, Suite 204, Bay City, MI 48708-5730 | 2016-12-09 |
| 1740690700 | Diane Swank II | Social Worker | 916 Washington Ave, Suite 223, Bay City, MI 48708-5730 | 2014-04-30 |
| 1427488691 | Renee Wells | Counselor | 916 Washington Ave, Bay City, MI 48708-5730 | 2013-11-25 |
| 1801226352 | Lindsay Craves | Social Worker | 916 Washington Ave, Bay City, MI 48708-5730 | 2013-11-20 |
| 1205118080 | Elizabeth Mary Picard | Dentist | 916 Washington Ave, Ste 202, Bay City, MI 48708-5730 | 2011-09-16 |
| 1952438780 | Farrel F Levasseur PC | Dentist | 916 Washington Ave, Suite 204, Bay City, MI 48708-5730 | 2007-02-28 |
| 1023158797 | Paul D Revard | Dentist | 916 Washington Ave, Suite 215, Bay City, MI 48708 | 2007-02-08 |
| 1841341690 | Frances Paula Santoro | Dentist | 916 Washington Ave, Suite 202, Bay City, MI 48708-5730 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| 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 |
|---|---|---|---|---|
| 1184770919 | Roger W. Hill | Dentist | 916 Washington Ave Ste 230, Bay City, MI 48708-5765 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352175 | Khaled Sinjab | Dentist | 8641 W Grand River Ave Ste 8, Brighton, MI 48116-4330 | 2020-09-25 |
| 1174134605 | Bay Periodontics | Dentist | 1666 Towsley Ln, Ann Arbor, MI 48105-9336 | 2020-08-10 |
| 1699309500 | Ann Arbor Periodontics | Dentist | 2715 Packard St Ste C, Ann Arbor, MI 48108-3365 | 2020-02-29 |
| 1679044192 | David I Lipton D.d.s., M.s. | Dentist | 50 W Big Beaver Rd Ste 150, Bloomfield Hills, MI 48304-3911 | 2018-12-10 |
| 1326576646 | Thomas James Fleszar | Dentist | 1175 Harrow Cir, Bloomfield Hills, MI 48304-3922 | 2017-05-31 |
| 1386185445 | Khairunnisa Quraishi Dds PC | Dentist | 37184 Dequindre Rd, Sterling Heights, MI 48310-3536 | 2017-03-09 |
| 1578002812 | Michigan Periodontics Group LLC | Dentist | 350 N Main St Ste 110, Chelsea, MI 48118-1486 | 2017-02-20 |
| 1518410836 | Mohamed Elazhri | Dentist | 27200 Parkview Blvd Apt 901, Warren, MI 48092-2820 | 2016-08-03 |
| 1316314834 | Whitney Dunn Weiner | Dentist | 2425 E Lincoln St, Suite 100, Birmingham, MI 48009-7100 | 2015-09-01 |
| 1639569684 | Divine Family Denistry | Dentist | 27845 Gratiot Ave, Roseville, MI 48066-4848 | 2015-01-29 |
| Find all providers with the same taxonomy | ||||
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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.