DR. TODD SHUJI KIMURA (NPI# 1669457164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669457164 |
| Entity Type | Individual |
| Full Name | DR. TODD SHUJI KIMURA |
| Credential | DDS |
| Practice Address |
4th & Interloop Road, Bldg 171 Us Army Dental Activity, Attn: Fran Gernert Credentials Fort Irwin CA 92311 |
| Mailing Address |
1631 Wetzel Avenue, Bldg 815 Us Army Dental Activity, Attn: Fran Gernert Credentials Fort Carson CO 80913 |
| Practice Telephone | 7195265537 |
| Practice Fax Number | 7195242843 |
| Mailing Telephone | 7195265537 |
| Mailing Fax Number | 7195242843 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DT-2429 | HI | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
43803 | CA | Dental Providers |
| Street Address |
4TH & INTERLOOP ROAD, BLDG 171 US ARMY DENTAL ACTIVITY, ATTN: FRAN GERNERT CREDENTIALS |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552437 | Sheri Lorena Brady | Counselor | 309 E. Mt. View Suite 100, Barstow, CA 92311 | 2018-06-15 |
| 1205352556 | Julie Ann Pellman | Dietitian, Registered | 100 Veterans Parkway, Barstow, CA 92311 | 2017-08-18 |
| 1821511106 | Ambria Nicole Flippo | Counselor | 309 E Mountain View, Suite 100, Barstow, CA 92311 | 2017-07-19 |
| 1124485289 | Wellness Acupuncture Clinic | Case Management | 1866 E Main St, Barstow, CA 92311 | 2016-01-20 |
| 1346606407 | Kirsten Cheong | Counselor | 306 E. Mountain View St., Suite 100, Barstow, CA 92311 | 2016-01-05 |
| 1205222536 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 234/236, 300, 304 and 308e Fredricks Street, Barstow, CA 92311 | 2015-04-14 |
| 1043629512 | Jon Pellerin | Pharmacist | 621 Montara, Barstow, CA 92311 | 2014-08-08 |
| 1255777421 | Ramendeep K Singh | Family Medicine | 1890 W. Main St., Suite 110, Barstow, CA 92311 | 2013-05-15 |
| 1760731061 | Jenifer Kristine Cordova | Physical Therapist | 1815 E. Main St., Barstow, CA 92311 | 2012-08-31 |
| 1053697250 | Lisa Herrmann | Counselor | 222 E Main St. Suite 117, Barstow, CA 92311 | 2011-11-01 |
| Find all providers in zip 92311 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790888618 | Robert N Galbreath | Dentist | Bldg 478, 4th Street & G Avenue, Fort Irwin, CA 92310-5076 | 2006-09-06 |
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| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92311 |
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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.