DR. SHELLY K GAREISS (NPI# 1528549177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528549177 |
Entity Type | Individual |
Full Name | DR. SHELLY K GAREISS |
Credential | DDS |
Practice Address |
Mcrd San Diego 3800 Chosin Avenue San Diego CA 92140 |
Mailing Address |
Naval Medical Ctr 34000 Bob Wilson Drive San Diego CA 92134-5000 |
Practice Telephone | 7084665161 |
Enumeration Date | 2018-08-22 |
Last Update Date | 2018-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DS0000010841 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MILITARY | VAD0000 | 01 |
Street Address |
MCRD SAN DIEGO 3800 CHOSIN AVENUE |
City | SAN DIEGO |
State | CA |
Zip Code | 92140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700185303 | Rachel Ann Holloway | Physician Assistant | 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 | 2011-03-22 |
1215158027 | Susan Rohbock | Physician Assistant | Navy Medical Clinic - Marine Corps Recruit Depot, 35000 Guadalcanal St., San Diego, CA 92140 | 2007-05-01 |
1700927514 | Anthony Joseph Marciante | Dentist | Branch Dental Clinic Mcrd, 43000 Midway Ave, Bldg 595, San Diego, CA 92140 | 2007-02-12 |
1861539488 | Justin Oderkirk | Emergency Medical Technician, Basic | 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 | 2007-01-31 |
1437240777 | Karima Ayesh | Dentist | 34000 Midway Ave, Bldg 595, Apo, AA 92140 | 2006-09-28 |
1730288788 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 25000 Guadal Canal Rd, Bldg 256, San Diego, CA 92140 | 2006-09-22 |
1306800644 | Reynaldo L Reyes Jr. | Military Health Care Provider | 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 | 2006-04-13 |
1932161197 | Reynaldo Aldover Guadez | Military Health Care Provider | Branch Medical Clinic Mcrd, 35000 Guadalcanal Street, San Diego, CA 92140 | 2006-04-04 |
1730151648 | Richard William Skinner | General Practice | Branch Clinic Marine Corps Recruit Depot, 35000 Guadalcanal Ave, San Diego, CA 92140 | 2006-02-03 |
1780938209 | Naval Medical Center San Diego | Military Hospital | 35000 Guadalcanal Ave, Bldg 596, San Diego, CA 92140 | 2012-11-06 |
Find all providers in zip 92140 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
Find all providers in SAN DIEGO |
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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.