C DOUGLAS FOWLER DDS INC (NPI# 1013035153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013035153 |
| Entity Type | Organization |
| Organization Name | C DOUGLAS FOWLER DDS INC |
| Practice Address |
6850 Brockton Avenue Suite 103 Riverside CA 92506-3826 |
| Practice Telephone | 9516865301 |
| Practice Fax Number | 9516864375 |
| Mailing Telephone | 9516865301 |
| Mailing Fax Number | 9516864375 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES DOUGLAS FOWLER (PRESIDENT) |
| Authorized Official Telephone | 9516865301 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
19067 | CA | Dental Providers |
| Street Address |
6850 BROCKTON AVENUE SUITE 103 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932399441 | Aruna Gupta, Md A Professional Corporation | Obstetrics & Gynecology | 6850 Brockton Avenue, Suite # 108, Riverside, CA 92506-3816 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| 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 |
|---|---|---|---|---|
| 1245697473 | Ronald Simus I | Dentist | 7170 Indiana Ave, Riverside, CA 92504-4544 | 2016-01-19 |
| 1538460811 | Lee Eugene Olsen | Dentist | 3564 Van Buren Blvs, Riverside, CA 92503 | 2010-11-03 |
| 1043540164 | Rosa Peng | Dentist | 10600 Magnolia Ave Ste A, Riverside, CA 92505-1819 | 2010-01-12 |
| 1164674859 | Carrie Akemi Imoto | Dentist | 3511 Madison St, Riverside, CA 92504-3739 | 2008-10-14 |
| 1871755652 | Dr.h.c.ahuja Dds A P C | Dentist | 4959 Arlington Ave Ste H, Riverside, CA 92504-2756 | 2008-07-02 |
| 1063613842 | Michael Chad Hawkins | Dentist | 3511 Madison Ave Suite F, Riverside, CA 92504 | 2007-05-30 |
| 1740492081 | Larry B. Crawford | Dentist | 301 E Alessandro Blvd Ste 3b, Riverside, CA 92508-2464 | 2007-05-06 |
| 1750405288 | E Jan Davidian | Dentist | 6886 Indiana Ave, Riverside, CA 92506-4218 | 2007-03-19 |
| 1528120797 | Hongsheng Sam Tong | Dentist | 11705 Slate Ave Ste 150, Riverside, CA 92505-7119 | 2006-12-14 |
| 1538235767 | Robert C Stockdale | Dentist | 3487 Central Ave, Riverside, CA 92506-2115 | 2006-11-28 |
| Find all providers in RIVERSIDE | ||||
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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.