MARK LARSEN BRADFORD D.D.S., NPI 1477555613
Dentist in CHICO, CA
Last Updated on : Jul 11,2007
About MARK LARSEN BRADFORD (NPI 1477555613)
MARK LARSEN BRADFORD is a Dentist provider in CHICO, United States. His medical specialization is Dentist with a focus in General Practice.
1477555613 is NPI number of MARK LARSEN BRADFORD.
MARK LARSEN BRADFORD's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 36646. This taxonomy code refers to Dentist.
MARK LARSEN BRADFORD has more than 17 years of experience.
MARK LARSEN BRADFORD current practice location address is 2545 CEANOTHUS AVE, CHICO, CA. MARK LARSEN BRADFORD can be reached out via phone at 530-342-7974 .
You can also correspond with MARK LARSEN BRADFORD through mail at mailing address 2545 CEANOTHUS AVE, CHICO, CA, United States. Mailing address contact number is 530-342-7974.
The enumeration date of MARK LARSEN BRADFORD is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1477555613 NPI Information
Basic NPI information of MARK LARSEN BRADFORD (NPI 1477555613) is provided below.
| Name | MARK LARSEN BRADFORD |
|---|---|
| National Provider Id (NPI) | 1477555613 |
| Entity Type | Individual |
| Gender | M |
| Credential | D.D.S. |
| Practice Address | 2545 CEANOTHUS AVE,
STE 138
CHICO, CA, United States |
| Practice Telephone | 530-342-7974 |
| Practice Fax Number | |
| Mailing Address | 2545 CEANOTHUS AVE ,
STE 138
CHICO, CA, United States |
| Mailing Telephone | 530-342-7974 |
| Mailing Fax Number | |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 11-Jul-2007 |
MARK LARSEN BRADFORD (NPI 1477555613) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | Dentist, General Practice | 36646 | CA |
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.
MARK LARSEN BRADFORD (NPI 1477555613) Office Location
Office location of MARK LARSEN BRADFORD is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1326105461 | MICHAEL ROBERT JONES | Dentist, General Practice | 2411 NOTRE DAME BLVD,
CHICO, CA, United States |
01-Jan-2007 |
| 1942446521 | KATHLEEN MARY CARNEY | Speech-Language Pathologist, | 71 VENETO CIR,
CHICO, CA, United States |
01-Jan-2009 |
| 1518024157 | CHAD ANDERS GUSTAFSON | Dentist | 17 ROOHR CT,
CHICO, CA, United States |
02-Jan-2007 |
| 1902953680 | DENNIS ALAN SCHAFER | Counselor, Mental Health | 24 LOWER LAKE CT,
CHICO, CA, United States |
04-Jan-2007 |
| 1346307998 | SANDY SHAWN FRINK | Rehabilitation Counselor | 1369 WOODLAND AVE,
CHICO, CA, United States |
02-Jan-2007 |
| 1982761532 | MELISSA JO PIERCE | Marriage & Family Therapist | 6 GOVERNORS LN STE A,
CHICO, CA, United States |
02-Jan-2007 |
| 1417227935 | JACK LIVINGSTON ULMER | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1531 ESPLANADE,
DEPARTMENT OF PHARMACY CHICO, CA, United States |
02-Jan-2012 |
| 1972873685 | MONTANA LEROUX | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1530 ESPLANADE,
CHICO, CA, United States |
11-Jan-2012 |
| 1144641549 | ASHLEY OLBERG | Naturopath | 4 GOVERNORS LN STE B,
CHICO, CA, United States |
02-Jan-2014 |
| 1972924389 | COLLEEN A REAPE | Occupational Therapy Assistant | 44 GARRISON AVE,
SOMERVILLE, MA, United States |
02-Jan-2014 |
| 1093287005 | JORDAN REED MCDANIEL | Counselor, Addiction (Substance Use Disorder) | 1004 SOUTHAMPTON DR,
CHICO, CA, United States |
02-Jan-2019 |
| 1326105982 | JAMES PATRICK MACE | Social Worker, Clinical | 844 ARBUTUS AVE,
CHICO, CA, United States |
03-Jan-2007 |
| 1932266244 | BRADY WYATT | Chiropractor | 113 W 8TH AVE STE A,
CHICO, CA, United States |
03-Jan-2007 |
| 1851448047 | ANNE MARIE KLEIMANN | Dietitian, Registered | 6161 RIPLEY LN,
PARADISE, CA, United States |
03-Jan-2007 |
| 1285781492 | JACQUELINE MARIE LOSI-SASAKI | Dermatology | 270 COHASSET RD STE 100,
CHICO, CA, United States |
03-Jan-2007 |
| 1417251679 | AMANDA ROSE CUNNINGHAM | Counselor, Mental Health | 2550 FLORAL AVE,
SUITE #30 CHICO, CA, United States |
03-Jan-2011 |
| 1063929685 | ROXANNE LEIGH BEARD | Counselor, Addiction (Substance Use Disorder) | 2150 NORD AVE,
2 CHICO, CA, United States |
04-Jan-2018 |
| 1104973825 | HERBERT A. GIESE | Pediatrics | 590 RIO LINDO AVE,
CHICO, CA, United States |
04-Jan-2007 |
| 1245387901 | NATIONWIDE MEDICAL GROUP, INC | Clinic/Center, Community Health | 7246 REMMET AVE,
CANOGA PARK, CA, United States |
04-Jan-2007 |
| 1841347515 | JAMES WILSON VOSS | Counselor, Mental Health | 1430 EAST AVE,
SUITE 4C CHICO, CA, United States |
04-Jan-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1477555613?1477555613 is the NPI number of MARK LARSEN BRADFORD.
What is the specialty for MARK LARSEN BRADFORD?The Specialty of MARK LARSEN BRADFORD is Dentist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|