FELDKAMP CAL SELECT DENTAL GROUP, INC. (NPI# 1790302784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790302784 |
| Entity Type | Organization |
| Organization Name | FELDKAMP CAL SELECT DENTAL GROUP, INC. |
| Practice Address |
15743 Main St Hesperia CA 92345-3410 |
| Mailing Address |
Po Box 10669 San Bernardino CA 92423-0669 |
| Practice Telephone | 7609811045 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | DR. IRVING MOORE FELDKAMP III (OWNER) |
| Authorized Official Telephone | 9094536600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 19806838 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669036117 | Feldkamp Cal Select Dental Group, Inc. | Dentist | 164 W Hospitality Ln Ste 127, San Bernardino, CA 92408-3316 | 2019-04-30 |
| 1295213239 | Feldkamp Cal Select Dental Group, Inc. | Dentist | 164 W Hospitality Ln # 107, San Bernardino, CA 92408-3316 | 2018-08-01 |
| 1427675412 | Feldkamp Cal Select Dental Group, Inc. | Dentist | 8325 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-3894 | 2020-06-25 |
| 1417574401 | Feldkamp Cal Select Dental Group, Inc. | Dentist | 10683 Magnolia Ave Ste D, Riverside, CA 92505-1893 | 2020-06-25 |
| Street Address |
15743 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295289239 | Sungjo J Choi | Dentist | 12051 Mariposa Rd Ste A, Hesperia, CA 92345-1613 | 2016-08-08 |
| 1871964056 | Javid Pour-ghasemi | Dentist | 8981 Grapefruit Ave, Hesperia, CA 92345-6514 | 2015-10-13 |
| 1023415130 | Tien T. Lam, Dds, Inc. | Dentist | 17137 Main St, Hesperia, CA 92345-6004 | 2014-12-04 |
| 1215216213 | Meenakshi Salwan | Dentist | 15398 Main St Ste A, Hesperia, CA 92345-3391 | 2011-08-08 |
| 1578860144 | Stromberg Dental Corporation | Dentist | 16868 Main St, Hesperia, CA 92345-6030 | 2011-02-17 |
| 1255667382 | Nhien Luu, D.d.s., Inc. | Dentist | 14466 Main St, Suite B107, Hesperia, CA 92345-4664 | 2009-10-24 |
| 1083847487 | Steven James Dombrady | Dentist | 18215 Bear Valley Rd, Hesperia, CA 92345-4922 | 2009-09-01 |
| 1225282494 | Dental Corporation of Louis Stromberg Dds | Dentist | 12821 Main St, Suite 150, Hesperia, CA 92345-9126 | 2008-11-13 |
| 1205034626 | Katherine Loye | Dentist | 15555 Main St Ste C3, Hesperia, CA 92345-3423 | 2007-07-06 |
| 1083810154 | James Andrew Sweeney | Dentist | 16385 Walnut St, Hesperia, CA 92345-3623 | 2007-06-25 |
| Find all providers in HESPERIA | ||||
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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.