DR. KENNETH K TAKEDA (NPI# 1396805107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396805107 |
| Entity Type | Individual |
| Full Name | DR. KENNETH K TAKEDA |
| Credential | DDS |
| Practice Address |
532 W Harding Way Ste B Stockton CA 95204-5611 |
| Mailing Address |
532 W. Harding Way, Suite B Stockton CA 95204-5611 |
| Practice Telephone | 2094662975 |
| Mailing Telephone | 2094662975 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D 18650 | CA | Dental Providers |
| Street Address |
532 W HARDING WAY STE B |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1457842957 | Suliman Orthodontics Inc. | Dentist | 4534 Precissi Ln Ste C, Stockton, CA 95207-6213 | 2018-05-21 |
| 1144688532 | Andrey Gaiduchik | Dentist | 1350 W Robinhood Dr Ste 20, Stockton, CA 95207-5519 | 2016-02-01 |
| 1710246640 | Anthony Hoang Nguyen | Dentist | 10615 Waterbury Dr, Stockton, CA 95209-4203 | 2012-05-12 |
| 1982721460 | Aaron Christopher Rondon | Dentist | 1002 W Robinhood Dr, Stockton, CA 95207-5604 | 2007-03-22 |
| 1073678413 | Lyndon Sumon Low | Dentist | 1110 W Robinhood Dr, Suite 200, Stockton, CA 95207-5606 | 2006-12-26 |
| 1407948508 | Gary Ralph Baughman | Dentist | 756 Porter Avenue, Suite 100, Stockton, CA 95207-4233 | 2006-09-28 |
| 1821001314 | Dale E Stocking | Dentist | 3427 Deer Park Dr, Suite D, Stockton, CA 95219-2355 | 2006-08-14 |
| 1811459332 | Gaiduchik Dental Corp | Dentist | 1350 W Robinhood Dr Ste 20, Stockton, CA 95207-5519 | 2019-04-03 |
| 1780163212 | Lam Khanh Vuong | Dentist | 678 N Wilson Way, Stockton, CA 95205-4272 | 2018-08-07 |
| Find all providers in STOCKTON | ||||
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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.