BENJAMIN KOPPEL (NPI# 1639790298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639790298 |
Entity Type | Individual |
Full Name | BENJAMIN KOPPEL |
Credential | DDS |
Practice Address |
290 N Wayte Ln Fresno CA 93701-2124 |
Mailing Address |
9263 N Saybrook Dr Apt 115 Fresno CA 93720-0819 |
Practice Telephone | 5594596927 |
Mailing Telephone | 7606463315 |
Enumeration Date | 2020-05-05 |
Last Update Date | 2020-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
290 N WAYTE LN |
City | FRESNO |
State | CA |
Zip Code | 93701-2124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780680611 | Irene R Sanchez | Nurse Practitioner | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2005-06-24 |
1033730593 | Ashley Robbins | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-05-06 |
1770103111 | Weijian Genry Lung | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-04-24 |
1588284350 | Claudia Garcia | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-04-22 |
1114553831 | Scott Matthew Evans | Pharmacist | 290 N Wayte Ln, Pharmacy 1st Floor, Suite 1500, Fresno, CA 93701-2124 | 2020-03-13 |
1225546575 | Family Healthcare Network | Clinic/Center | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2018-01-19 |
1366969990 | Leanne Wakefield | Social Worker | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2017-08-24 |
1881129690 | Leeann Toshie Sakamoto Cunningham | Registered Nurse | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2017-04-29 |
1134653017 | Janette Chung | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Suite 2500, Fresno, CA 93701-2124 | 2017-04-17 |
1649702556 | Sean Lin | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Suite 2500, Fresno, CA 93701-2124 | 2017-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
Find all providers in zip 93701 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526672 | Chandni T Patel | Student in an Organized Health Care Education/Training Program | 9715 N Willey Ct, Fresno, CA 93720-5418 | 2020-07-29 |
1649892514 | Jasdeep Brar | Student in an Organized Health Care Education/Training Program | 4409 E Inyo St. Unit A, Fresno, CA 93702-2977 | 2020-05-13 |
1396364048 | Dessere Givertz | Student in an Organized Health Care Education/Training Program | 10155 N Edgewood Dr, Fresno, CA 93720-3423 | 2020-04-13 |
1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
1669001632 | Hunza Chaudhry | Student in an Organized Health Care Education/Training Program | 155 N Fresno St Ste 307, Fresno, CA 93701-2302 | 2020-04-02 |
1720616345 | Veronica Moffitt | Student in an Organized Health Care Education/Training Program | 6536 N Wheeler Ave, Fresno, CA 93722-3007 | 2020-03-30 |
1225682701 | Mariah Isabel Negrete | Student in an Organized Health Care Education/Training Program | 5503 W Pinedale Ave, Fresno, CA 93722-2348 | 2019-08-01 |
1174184543 | Keschia Matthews | Student in an Organized Health Care Education/Training Program | 2118 Beacon Light Ln, Fresno, TX 77545-7089 | 2019-06-25 |
1710545884 | Tanica Eboni Washington | Student in an Organized Health Care Education/Training Program | 4151 N Blythe Ave Apt 132, Fresno, CA 93722-6376 | 2019-06-03 |
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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.