KINBERLY ANTRIM DDS DENTAL CORPORATION (NPI# 1558712398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558712398 |
Entity Type | Organization |
Organization Name | KINBERLY ANTRIM DDS DENTAL CORPORATION |
Practice Address |
7880 Wren Ave Suite A-113 Gilroy CA 95020-4943 |
Practice Telephone | 4083752155 |
Mailing Telephone | 4083752155 |
Enumeration Date | 2016-06-23 |
Last Update Date | 2016-06-23 |
Authorized Official Name | DR. KINBERLY ANTRIM (PRESIDENT) |
Authorized Official Telephone | 4083752155 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
59694 | CA | Ambulatory Health Care Facilities |
Street Address |
7880 WREN AVE SUITE A-113 |
City | GILROY |
State | CA |
Zip Code | 95020-4943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881684884 | Edward Leroy Vines | Dentist | 7880 Wren Ave, Suite B-121, Gilroy, CA 95020-4943 | 2005-10-21 |
1275044935 | Aishwarya Surya Kumar | Dentist | 7880 Wren Ave, Gilroy, CA 95020-4943 | 2017-10-20 |
1477090892 | Seung Hwan An | Dentist | 7880 Wren Ave, Suite B-125, Gilroy, CA 95020-4943 | 2017-01-23 |
1023554334 | Padre Pio's Home Health Care Services, Inc | Home Health | 7880 Wren Ave, Ste C-134, Gilroy, CA 95020-4943 | 2017-01-10 |
1912450974 | Rehabone Medical Group, Inc. | Physical Medicine & Rehabilitation | 7880 Wren Ave, Ste F-163, Gilroy, CA 95020-4943 | 2016-07-26 |
1689000184 | Jeannine Sacco | Nurse Practitioner | 7880 Wren Ave, Suite E153, Gilroy, CA 95020-4943 | 2013-09-17 |
1033341110 | Binh Phuc Pham | Dentist | 7880 Wren Ave, Suite C131, Gilroy, CA 95020-4943 | 2009-08-21 |
1164696803 | Edward L. Vines Dds Inc A Dental Corporation | Dentist | 7880 Wren Ave, Suite B-121, Gilroy, CA 95020-4943 | 2008-04-14 |
1033398243 | Efrain A Montana Dds Adriana A Villarreal Dds A Professional Corp. | Dentist | 7880 Wren Ave, Ste D-145, Gilroy, CA 95020-4943 | 2007-10-24 |
1851508022 | Eric R Nagareda | Dentist | 7880 Wren Ave, Suite D141, Gilroy, CA 95020-4943 | 2007-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
Find all providers in zip 95020 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922093533 | County of Santa Clara | Clinic/Center | 7475 Camino Arroyo, Vhc Gilroy, Gilroy, CA 95020 | 2005-09-20 |
1578164570 | Nimrat Dhillon Dental Corp | Clinic/Center | 1325 1st St, Gilroy, CA 95020-4735 | 2020-11-05 |
1265898357 | Gardner Family Health Network | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2016-01-06 |
1861645327 | John B Perez Dds | Clinic/Center | 7880 Wren Ave Ste F162, Gilroy, CA 95020-7802 | 2008-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
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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.