DR. RICHARD STANLEY OLESEN (NPI# 1639360555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639360555 |
| Entity Type | Individual |
| Full Name | DR. RICHARD STANLEY OLESEN |
| Credential | DDS |
| Practice Address |
2430 Webster Street Berkeley CA 94705 |
| Practice Telephone | 5108434550 |
| Practice Fax Number | 5108434553 |
| Mailing Telephone | 5108434550 |
| Mailing Fax Number | 5108434553 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D23549 | CA | Dental Providers |
| Street Address |
2430 WEBSTER STREET |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| 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 |
|---|---|---|---|---|
| 1568027183 | Leila Pakravan | Dentist | 2136 University Ave, Berkeley, CA 94704-1026 | 2019-05-08 |
| 1467921288 | Ethan Do | Dentist | 3017 Telegraph Ave Ste 310, Berkeley, CA 94705-2049 | 2018-11-21 |
| 1497112338 | Theodore Robert Small | Dentist | 1301 Bonita Ave Apt 4, Berkeley, CA 94709-1983 | 2016-01-22 |
| 1962817882 | Ian Iwane Dds | Dentist | 1536 Blake St, None, Berkeley, CA 94703-1806 | 2014-06-30 |
| 1932549235 | Erwin Yeh | Dentist | 1502 Walnut St Ste D, Berkeley, CA 94709-1563 | 2013-07-01 |
| 1144663766 | Alicia Applin | Dentist | 2812 Piedmont Ave, Berkeley, CA 94705-2314 | 2013-04-12 |
| 1588969919 | Martin L Goldman | Dentist | 900 Colusa Ave Ste 205-a, Berkeley, CA 94707-2319 | 2011-01-15 |
| 1316256712 | Anthony Murray Dailley | Dentist | 2999 Regent St Ste 302, Berkeley, CA 94705-2118 | 2010-10-02 |
| 1912239567 | Lindsey Koida | Dentist | 909 University Ave., Berkeley, CA 94710 | 2010-02-08 |
| 1568690824 | Brian Marc Assael | Dentist | 2459a Ashby Ave, Berkeley, CA 94705 | 2009-06-25 |
| Find all providers in BERKELEY | ||||
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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.