DR. DONALD KIPP RUDDELL (NPI# 1417986415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417986415 |
| Entity Type | Individual |
| Full Name | DR. DONALD KIPP RUDDELL |
| Credential | DDS |
| Practice Address |
298 Grand Ave Suite 200 Oakland CA 94610 |
| Practice Telephone | 5104521068 |
| Practice Fax Number | 5104523120 |
| Mailing Telephone | 5104521068 |
| Mailing Fax Number | 5104523120 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 32392 | CA | Dental Providers |
| Street Address |
298 GRAND AVE SUITE 200 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427495373 | Thomas Matthew Kaiser | Dentist | 298 Grand Ave, Suite 200, Oakland, CA 94610-4724 | 2013-06-02 |
| 1174758569 | Stephen Haynes Carlson | Psychologist | 298 Grand Ave, #100, Oakland, CA 94610-4724 | 2009-05-28 |
| 1841384708 | Feriel El Ghaoui | Dentist | 298 Grand Ave, Oakland, CA 94610-4724 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
| 1073042628 | Thien Lake Acupuncture | Clinic/Center | 3654 Grand Aveune, Oakland, CA 94610 | 2017-06-07 |
| 1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
| 1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
| 1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
| 1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
| 1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
| 1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
| 1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
| 1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
| Find all providers in zip 94610 | ||||
| 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 |
|---|---|---|---|---|
| 1346862166 | Tiffany L Sum | Dentist | 1411 E 31st St Bldg E2, Oakland, CA 94602-1092 | 2020-05-14 |
| 1427607910 | Karen Chong | Dentist | 3040 E 9th St Ste D, Oakland, CA 94601-2938 | 2019-09-06 |
| 1548817323 | Dr. Choi, Dmd, Inc. | Dentist | 3511 International Blvd, Oakland, CA 94601-3521 | 2019-08-26 |
| 1447818760 | Eric Daniel Deschenes | Dentist | 6200 Antioch St Ste 201, Oakland, CA 94611-2954 | 2019-06-01 |
| 1154801439 | Tao Zhou | Dentist | 125 2nd St Apt 806, Oakland, CA 94607-4568 | 2018-08-16 |
| 1568957157 | Carmen Ruth | Dentist | 14710 Tn-194, Oakland, TN 38060 | 2018-06-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1093233454 | Scott Yoo Dds Dental Corp | Dentist | 2710 Telegraph Ave Ste 250, Oakland, CA 94612-1776 | 2017-09-06 |
| 1093246795 | Said Jalil Sadri | Dentist | 5939 La Salle Ave, Oakland, CA 94611-3225 | 2017-03-23 |
| 1841651635 | Phillip Wayne Olrich | Dentist | 407 41st St, Oakland, CA 94609-2510 | 2016-03-08 |
| Find all providers in OAKLAND | ||||
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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.