DR. BRADLEY ROBERT THOMPSON (NPI# 1477896694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477896694 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY ROBERT THOMPSON |
| Credential | D.D.S. |
| Practice Address |
2350 Professional Dr Suite 200 Roseville CA 95661-7747 |
| Practice Telephone | 9167741605 |
| Mailing Telephone | 9167741605 |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2013-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 62231 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
62231 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952432262 | Bradley Majors Thompson | Optometrist | 521 Deerfield Drive, Forest, MS 39074-6006 | 2007-03-08 |
| 1992854475 | Bradley D Thompson | Chiropractor | 4062 Harney St, San Diego, CA 92110-2828 | 2007-01-10 |
| 1982230124 | Bradley Thompson | Registered Nurse | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2020-03-19 |
| 1194383158 | Bradley M Thompson | Student in an Organized Health Care Education/Training Program | 490 N Grape St, Escondido, CA 92025-3079 | 2019-06-04 |
| 1801220926 | Bradley Thompson | Social Worker | 8295 Tournament Dr, 150, Memphis, TN 38125-8906 | 2013-08-26 |
| 1245514348 | Bradley Regan Thompson | Registered Nurse | 4301 S Pine St, Suite 301, Tacoma, WA 98409-7264 | 2011-10-06 |
| 1902127640 | Bradley F Thompson | Physical Medicine & Rehabilitation | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2010-06-17 |
| 1477730190 | Bradley Thompson | Chiropractor | 7464 Tchulahoma Rd, Southaven, MS 38671-9249 | 2008-01-24 |
| 1669485306 | Bradley Jay Thompson | Internal Medicine | 3650 S Eastern Ave, #300, Las Vegas, NV 89109-3379 | 2006-08-14 |
| 1487672713 | Bradley S Thompson | Family Medicine | 577 S River Rd, St George, UT 84790-2097 | 2006-07-17 |
| Street Address |
2350 PROFESSIONAL DR SUITE 200 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-7747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447239421 | Michael D Forde | Dentist | 2350 Professional Dr, 100, Roseville, CA 95661-7747 | 2006-01-10 |
| 1609318443 | Jefferson Clark | Dentist | 2350 Professional Dr, Suite 100, Roseville, CA 95661-7747 | 2016-11-10 |
| 1396952347 | Michael Powell Mullen | Dentist | 2350 Professional Dr, Suite 400, Roseville, CA 95661-7747 | 2007-05-17 |
| 1164513834 | John Paul Hansen | Dentist | 2350 Professional Dr, Suite 200, Roseville, CA 95661-7747 | 2006-09-27 |
| 1376647487 | Sidney Charles Wisdom | Dentist | 2350 Professional Dr, Suite 300, Roseville, CA 95661 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1093313181 | Kourosh Seifolahi Bazarjani | Dentist | 1098 Woodcreek Oaks Blvd Apt 2804, Roseville, CA 95747-6234 | 2020-10-12 |
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1447878574 | Fatemeh Mahboub | Dentist | 500 Roseville Pkwy Apt 1315, Roseville, CA 95747-4682 | 2020-07-06 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1891287405 | Hadeel Alniemi | Dentist | 2690 Snelling Ave N # 250, Roseville, MN 55113-1700 | 2018-05-31 |
| 1952817264 | Fady A Khalil | Dentist | 1280 Laysan Teal Dr, Roseville, CA 95747-4643 | 2017-12-21 |
| 1336653294 | Insiyah Zanzi | Dentist | 1424 Blue Oaks Blvd, Roseville, CA 95747-7143 | 2017-11-29 |
| 1558872010 | Nafisa A Elmi | Dentist | 1700 Highway 36 W Ste 860, Roseville, MN 55113 | 2017-10-23 |
| 1891238929 | Magaly C Ferreira | Dentist | 2690 Snelling Ave N Ste 250, Roseville, MN 55113-1700 | 2016-11-21 |
| 1104374206 | Emilia Lavinia Dinea-berci | Dentist | 1259 Pleasant Grove Blvd Ste 100, Roseville, CA 95678-6974 | 2016-09-17 |
| Find all providers in ROSEVILLE | ||||
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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.