DR. JESSE J. PUNCH (NPI# 1679943484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679943484 |
| Entity Type | Individual |
| Full Name | DR. JESSE J. PUNCH |
| Credential | DMD, MSD |
| Practice Address |
4375 First St Livermore CA 94551-4912 |
| Practice Telephone | 9252949288 |
| Mailing Telephone | 9252949288 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-12-29 |
| 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 |
65076 | CA | Dental Providers |
| Street Address |
4375 FIRST ST |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94551-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083276018 | Emad Kevin Alazzeh | Dentist | 4375 First St, Livermore, CA 94551-4912 | 2019-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370897 | Mauricio Perez De La Vega Sr. | Behavioral Analyst | 564 Heligan Ln Unit 3, Livermore, CA 94551 | 2018-06-21 |
| 1528592003 | Angel Qin | Pharmacist | 7 Meritage Common, Unit 203, Livermore, CA 94551 | 2017-04-12 |
| 1538690169 | Pradeepkumar R Patel | Pharmacist | 300-g Pullman Street, Livermore, CA 94551 | 2017-03-24 |
| 1306398987 | Janella Rae Palao Bautista | Counselor | Sierra School At Livermore (lawerence Elementary), 2451 Portola Ave, Livermore, CA 94551 | 2016-10-28 |
| 1255887006 | Eye Candy, L.L.C. | Optometrist | 4423 First Street, Livermore, CA 94551 | 2016-08-31 |
| 1144675869 | Aic Health Care Inc. | Home Health | 4049 First St Ste 229, Livermore, CA 94551 | 2016-05-02 |
| 1376943704 | Danielle Leduc | Social Worker | 6112 Water Lily Cmns Apt 107, Livermore, CA 94551 | 2014-09-04 |
| 1326463597 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2177 Las Positas Ct Ste Bc, Livermore, CA 94551 | 2014-02-25 |
| 1285055939 | Tram Hoa Huynh | Pharmacist | 300 Pullman St., Livermore, CA 94551 | 2013-12-26 |
| 1902146806 | Amy Suezaki | Pharmacist | 300a Pullman St, Livermore, CA 94551 | 2013-03-01 |
| Find all providers in zip 94551 | ||||
| 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 |
|---|---|---|---|---|
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1760795421 | Brian J Emrich | Dentist | 1841 Fourth St, Livermore, CA 94550-4467 | 2010-07-22 |
| 1114028149 | Thomas J Marcel | Dentist | 2084 4th St, Livermore, CA 94550-4460 | 2006-09-25 |
| 1396751392 | Michael D. Kasso | Dentist | 999 E Stanley Blvd Ste B, Livermore, CA 94550-4050 | 2006-07-31 |
| 1134155690 | Klifford Todd Kapus | Dentist | 4200 East Ave, Suite #100, Livermore, CA 94550-4945 | 2006-06-24 |
| 1063809804 | Shannon Miyuki Hayashibara | Dentist | 2177 Las Positas Ct, Suite E, Livermore, CA 94551-8872 | 2015-04-20 |
| 1881833143 | John Norman Emrich | Dentist | 1018 Murrieta Blvd, Suite A, Livermore, CA 94550-4163 | 2009-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 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 | ||||
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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.