DR. GERALD R. NOVICK (NPI# 1477699916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477699916 |
| Entity Type | Individual |
| Full Name | DR. GERALD R. NOVICK |
| Credential | DDS |
| Practice Address |
1821 Concord Ave Concord CA 94520-2348 |
| Mailing Address |
85 Ellenwood Ave Los Gatos CA 95030-5220 |
| Practice Telephone | 9258259285 |
| Practice Fax Number | 1745713560 |
| Mailing Telephone | 9258259285 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
19791 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | D19791 | 05 |
| Street Address |
1821 CONCORD AVE |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992873913 | Preeti Dsouza | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2006-11-30 |
| 1295184489 | Samila Charkhezarrin | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2016-06-08 |
| 1609928449 | Western Dental Services, Inc. | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2007-01-18 |
| 1184792467 | Shailaja Menon | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2006-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1295387140 | Concord Orthodontics, Pllc | Dentist | 16 Foundry St Ste 202, Concord, NH 03301-5431 | 2019-07-11 |
| 1578074472 | Maurice D. Simanian, Dds Inc | Dentist | 901 Sunvalley Blvd Ste 201, Concord, CA 94520-5820 | 2017-10-18 |
| 1427588763 | Concord Orthodontics Pllc | Dentist | 1732 Main St Ste C1-a, Concord, MA 01742-3837 | 2017-06-19 |
| 1376949289 | Dixon Taylor | Dentist | 4501 Cowell Rd, Concord, CA 94518-1903 | 2014-11-05 |
| 1861816936 | Aurora Alden Dds, Inc. | Dentist | 2751 Concord Blvd, Concord, CA 94519-2606 | 2014-02-10 |
| 1255630521 | Linda Ann Simon | Dentist | 845 Church Street, North, Suite 301, Concord, NC 28025-4375 | 2011-03-25 |
| 1275783144 | John Turner | Dentist | 319 Coddle Market Dr. Nw, Suite 130, Concord, NC 28027-2413 | 2008-09-26 |
| 1427223171 | Vuchnich & Blacker Orthodontics | Dentist | 1028 Leeann Drive, Suite 300, Concord, NC 28025 | 2008-04-24 |
| 1740491232 | Lioubov G Richter | Dentist | 155 Pleasant St, Concord, NH 03301 | 2007-05-25 |
| Find all providers in CONCORD | ||||
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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.