SANTA CRUZ DENTAL GROUP (NPI# 1962952762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962952762 |
| Entity Type | Organization |
| Organization Name | SANTA CRUZ DENTAL GROUP |
| Practice Address |
1017 Mission St Santa Cruz CA 95060-3524 |
| Practice Telephone | 8314263535 |
| Practice Fax Number | 8314540330 |
| Mailing Telephone | 8314263535 |
| Mailing Fax Number | 8314540330 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | DR. MAX WILSON (PARTNER) |
| Authorized Official Telephone | 8314263535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 50398 | CA | Dental Providers |
| N | 122300000X | Dentist | 50395 | CA | Dental Providers |
| Y | 122300000X | Dentist | 32389 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DOCTOR'S NPI NUMBERS | 1639272248 | 01 |
| CA | DOCTOR'S NPI NUMBERS | 13261317131 | 01 |
| CA | DOCTOR'S NPI NUMBERS | 1063505477 | 01 |
| Street Address |
1017 MISSION ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609970987 | Bruce K Donald | Dentist | 1017 Mission St, Santa Cruz, CA 95060 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890178 | Alana K. Thompson Dds Inc. | Dentist | 1016 Soquel Ave # 2, Santa Cruz, CA 95062-2104 | 2018-08-09 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1710148812 | Guy Peabody | Dentist | 620 Frederick St, Santa Cruz, CA 95062-2203 | 2008-06-20 |
| 1891953022 | Noreen Yoshida | Dentist | 640 Harbor Vista Ln, Santa Cruz, CA 95062-2775 | 2008-05-23 |
| 1265609663 | Laurence Yien | Dentist | 100 Pioneer St Ste D, Santa Cruz, CA 95060-2181 | 2008-05-14 |
| 1588852362 | Christopher C. Keys | Dentist | 1505 Soquel Dr Ste 5b, Santa Cruz, CA 95065-1716 | 2007-10-05 |
| 1881815942 | Mickel A Malek | Dentist | 3337 Mission Dr, Santa Cruz, CA 95065-1827 | 2007-05-02 |
| 1104042860 | Dari Vogel | Dentist | 526 Soquel Ave Ste E, Santa Cruz, CA 95062-2321 | 2007-04-18 |
| 1134342728 | Thomas S Young | Dentist | 3319 Mission Dr, Santa Cruz, CA 95065 | 2007-04-11 |
| 1235278441 | Robert Matiasevich Jr Dds Inc | Dentist | 1775 Dominican Way, Santa Cruz, CA 95065 | 2007-02-05 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.