FRUITVALE DENTAL GROUP
NPI 1750595567
Dentist in Oakland, CA
NPI Status: Active since May 10, 2007
Contact Information
1624 FRANKLIN ST
SUITE 1206
OAKLAND, CA
ZIP 94612
Phone: (510) 452-5555
- Organization
- Dentist
About FRUITVALE DENTAL GROUP
This page provides the complete NPI Profile along with additional information for Fruitvale Dental Group, a provider established in Oakland, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1750595567 assigned on May 2007. The practitioner's primary taxonomy code is 122300000X with license number CA 21733 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Fruitvale Dental Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Fruitvale Dental Group. The authorized official of this NPI record is Dr. Richard H. Mogensen Dds (President)
- NPI
- 1750595567
- Provider Legal Name
- RICHARD H. MOGENSEN DDS APC
- Other Organization Name
- FRUITVALE DENTAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1624 FRANKLIN ST SUITE 1206 OAKLAND, CA 94612
- Location Phone
- (510) 452-5555
- Mailing Address
- 1624 FRANKLIN ST SUITE 1206 OAKLAND, CA 94612
- Mailing Phone
- (510) 452-5555
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-10-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Fruitvale Dental Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- CA 21733
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G92157-01 | MEDICAID (05) | CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 9 | 5 | 5 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 9 | 10 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 9 + 1 + 0 + 5 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1750595567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
DR. WAYNE C. FONG DDS
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 410
OAKLAND, CA
ZIP 94612
DR. CURTIS C YUEN D.D.S.
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 1010
OAKLAND, CA
ZIP 94612
MARK CAGE DDS
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 615
OAKLAND, CA
ZIP 94612
WINNIE LAM DDS
Dentist
1624 FRANKLIN ST
SUITE 615
OAKLAND, CA
ZIP 94612
DR. EVA RENEE BENDER DDS
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 300
OAKLAND, CA
ZIP 94612
DR. PAUL JOHN CASALE D.D.S.
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 300
OAKLAND, CA
ZIP 94612
DR. ROBERT CHARLES GOLDEN DDS
Dentist
1624 FRANKLIN ST
SUITE 1205
OAKLAND, CA
ZIP 94612
LAWRENCE SHIH
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 1010
OAKLAND, CA
ZIP 94612
DR. TONG WOO LEE D.D.S.
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 1005
OAKLAND, CA
ZIP 94612
DR. ROMEO REYES AQUINO DMD
Dentist
1624 FRANKLIN ST
SUITE 405
OAKLAND, CA
ZIP 94612
JAMES LESTER WEAVER JR. D.D.S.
Dentist
1624 FRANKLIN ST
SUITE 320
OAKLAND, CA
ZIP 94612
ERIC ANTHONY LIM DDS
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE #410
OAKLAND, CA
ZIP 94612
DR. MIDORI BETTY TACHIBANA D.D.S.
Dentist
(Endodontics)
1624 FRANKLIN ST
SUITE 1220
OAKLAND, CA
ZIP 94612
DR. DRAAK DAVIS FAMILY DENTAL
Preferred Provider Organization
1624 FRANKLIN ST
SUITE 1206
OAKLAND, CA
ZIP 94612
WILLIAM COX DENTAL CORPORATION
Dentist
1624 FRANKLIN ST
SUITE 615
OAKLAND, CA
ZIP 94612
LAWRENCE SHIH, D.D.S., INC.
Dentist
(General Practice)
1624 FRANKLIN ST
SUITE 1010
OAKLAND, CA
ZIP 94612
DR. BRIAN BINH TRINH D.D.S.
Dentist
(General Practice)
1624 FRANKLIN ST
STE 910
OAKLAND, CA
ZIP 94612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750595567, enumerated as an "organization" on May 10, 2007.
The provider is located at 1624 FRANKLIN ST SUITE 1206 OAKLAND, CA 94612 and the phone number is (510) 452-5555.
Dentist with taxonomy code 122300000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
