NAKHLA DENTAL GROUP (NPI# 1437684784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437684784 |
| Entity Type | Organization |
| Organization Name | NAKHLA DENTAL GROUP |
| Other Organization Name | CROW CANYON DENTAL |
| Practice Address |
Crow Canyon Dental 2821 Crow Canyon Road #200 San Ramon CA 94583 |
| Practice Telephone | 9253831533 |
| Practice Fax Number | 9258383146 |
| Mailing Telephone | 9253831533 |
| Mailing Fax Number | 9258383146 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | ANGEL D. THOMAS (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 9258381533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 60501 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Crow Canyon Dental | Doing Business As Name - Organization |
| Street Address |
CROW CANYON DENTAL 2821 CROW CANYON ROAD #200 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1225560139 | Jennifer Fox | Nurse Practitioner | 200 Porter Dr Ste 200, San Ramon, CA 94583 | 2017-03-30 |
| Find all providers in zip 94583 | ||||
| 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 |
|---|---|---|---|---|
| 1134789373 | Eunice Ruby Jong | Dentist | 9130 Alcosta Blvd Ste A4, San Ramon, CA 94583-3849 | 2019-06-19 |
| 1912406729 | S.y.y Jang Dds Corp | Dentist | 111 Deerwood Rd Ste 130c, San Ramon, CA 94583-4409 | 2018-02-07 |
| 1447781026 | Lisa Cannatella, Dds and Priyanka Moonka, Dds, Inc | Dentist | 9301 Fircrest Ln Ste 7, San Ramon, CA 94583-3960 | 2017-03-24 |
| 1316312614 | Suzanne Saidi | Dentist | 2206 Camino Ramon, San Ramon, CA 94583-1328 | 2015-12-11 |
| 1619349511 | Shiva Mohtasham Dds, Inc | Dentist | 1501 Bollinger Canyon Rd Ste F, San Ramon, CA 94583-1758 | 2015-10-30 |
| 1972989697 | Corey Pham | Dentist | 3276 Casa Grande Dr, San Ramon, CA 94583-3004 | 2015-08-04 |
| 1023417219 | Ryan Ray Rabago Dela Cruz | Dentist | 2551 San Ramon Valley Blvd Ste 105, San Ramon, CA 94583-1661 | 2014-08-14 |
| 1285065425 | Sharda Ketan Patel | Dentist | 3036 Blackberry Ave, San Ramon, CA 94582-5413 | 2013-12-12 |
| 1730516519 | Roger Chang | Dentist | 11040 Bollinger Canyon Rd Ste I, San Ramon, CA 94582-5056 | 2013-10-11 |
| 1780026278 | David P. Cartago, Dds, II Inc | Dentist | 9260 Alcosta Blvd Ste B10, San Ramon, CA 94583-4134 | 2013-07-24 |
| Find all providers in SAN RAMON | ||||
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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.