GUY WILLIAM MENDIVIL (NPI# 1912054271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912054271 |
| Entity Type | Individual |
| Full Name | GUY WILLIAM MENDIVIL |
| Credential | DDS |
| Practice Address |
515 W Columbus St Ste A&b Bakersfield CA 93301-5846 |
| Practice Telephone | 6613235910 |
| Practice Fax Number | 6613235911 |
| Mailing Telephone | 6613235910 |
| Mailing Fax Number | 6613235911 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D29737 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DELTA DENTAL PREFIX ID | D629737 | 01 |
| CA | G93914-01 | 05 | |
| CA | CGP170062 | 05 |
| Street Address |
515 W COLUMBUS ST STE A&B |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| 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 |
|---|---|---|---|---|
| 1679031066 | Ricks Family Orthodontics West A Sturz & Abby Dental Group Partnership | Dentist | 9860 Brimhall Rd Unit 200, Bakersfield, CA 93312-2796 | 2019-03-05 |
| 1033626965 | Baker Al Akad | Dentist | 9906 Valerio Ct, Bakersfield, CA 93312-5928 | 2017-12-30 |
| 1255799508 | Michael M. Thurman, Dds, Msd, Inc. | Dentist | 9550 Brimhall Rd Ste B, Bakersfield, CA 93312-2231 | 2016-02-02 |
| 1578992715 | Kenneth Gordon Ricks Jr. | Dentist | 5601 Auburn St Unit B, Bakersfield, CA 93306-2977 | 2013-11-07 |
| 1184953887 | Bruce Gloeckner | Dentist | 3726 Coffee Rd, Suite A, Bakersfield, CA 93308-5002 | 2009-12-09 |
| 1306029525 | Chun-hsing J Chen | Dentist | 6409 Ming Ave, Bakersfield, CA 93309-6703 | 2007-12-11 |
| 1063612992 | Wes Richardson Cardall | Dentist | 1010 Calloway Dr, 200a, Bakersfield, CA 93312-6391 | 2007-07-19 |
| 1255477592 | Guy W Mendivil Dds Professional Dental Corp | Dentist | 515 W Columbus St Ste Ab, Bakersfield, CA 93301-5846 | 2007-01-30 |
| 1467511923 | Gerald Paul Tadej | Dentist | 8625 Liberty Park Dr, Suite 101, Bakersfield, CA 93311-1374 | 2006-12-08 |
| 1578664603 | Kyle Glen Baker | Dentist | 8625 Liberty Park Drive, Suite 101, Bakersfield, CA 93311-1374 | 2006-09-25 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on GUY WILLIAM MENDIVIL.
| 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.