Individual provider Active NPI

Edward Esser Dove, D.D.S.

  • Pediatric Dentistry
  • Bakersfield, CA
National Provider Identifier
1417981606
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
51010 Issued in CA
Practice address
3130 Union Ave
Bakersfield, CA 93305-3443
Phone
(661) 872-2170
Fax
(661) 872-9527
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4999 AZ
Pediatric Dentistry 1223P0221X 51010 CA Primary

Addresses

Primary practice location

3130 Union Ave
Bakersfield, CA 93305-3443

Mailing address

3130 Union Ave
Bakersfield, CA 93305-3443
Phone (661) 872-2170

Other practice location 1

209 W Apache Trl
Apache Junction, AZ 85120-3910
Phone (480) 288-5955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4999AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MK Raymond Dental Corporation PC Pediatric Dentistry CurrentSince Apr 21, 2024 Accepting new patients
Kinder Pediatric Dental Specialist, PLLC Pediatric Dentistry CurrentSince May 1, 2024 Accepting new patients
R Abedi DDS PLLC PastSince Nov 5, 2023 Accepting new patients
Doug Chang PC Past Accepting new patients

Locations

209 W Apache Trl
Apache Junction, AZ 85120
Phone (480) 288-5955

3819 Mount Vernon Ave
Bakersfield, CA 93306

3130 Union Ave
Bakersfield, CA 93305
Phone (240) 751-3031

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1417981606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 UNION AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933053443",
            "telephone_number": "661-872-2170",
            "fax_number": "661-872-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 UNION AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933053443",
            "telephone_number": "661-872-2170",
            "fax_number": "661-872-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 W Apache Trl",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851203910",
            "country_code": "US",
            "telephone_number": "480-288-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVE",
        "first_name": "EDWARD",
        "middle_name": "ESSER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "4999",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.