HYDO, ANGELOPOULOS & MILLER DENTAL GROUP (NPI# 1053798157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053798157 |
| Entity Type | Organization |
| Organization Name | HYDO, ANGELOPOULOS & MILLER DENTAL GROUP |
| Other Organization Name | GREAT SMILES PEDIATRIC DENTISTRY & ORTHODONTICS |
| Practice Address |
6010 Hidden Valley Rd Suite #100 Carlsbad CA 92011-4213 |
| Practice Telephone | 7609445115 |
| Practice Fax Number | 7609445226 |
| Mailing Telephone | 7609445115 |
| Mailing Fax Number | 7609445226 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | DR. CRYSTAL L ANGELOPOULOS (PARTNER) |
| Authorized Official Telephone | 7609445115 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
41735 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
52708 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Great Smiles Pediatric Dentistry & Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336429612 | Hydo, Angelopoulos & Miller Dental Group | Dentist | 1200 Garden View Rd, Suite #102, Encinitas, CA 92024-2477 | 2011-08-18 |
| 1457683880 | Hydo, Angelopoulos & Miller Dental Group | Dentist | 530 Lomas Santa Fe Dr, Suite H, Solana Beach, CA 92075-1349 | 2010-02-10 |
| Street Address |
6010 HIDDEN VALLEY RD SUITE #100 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92011-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871693796 | Ca&k Inc. Dba Price Rite Pharmacy | Pharmacy Technician | 6010 Hidden Valley Rd, Suite 135, Carlsbad, CA 92011-4213 | 2006-09-22 |
| 1942657937 | Nadine Batac | Nurse Practitioner | 6010 Hidden Valley Rd, Suite 110, Carlsbad, CA 92011-4213 | 2016-05-19 |
| 1750755617 | Shannon Leigh Devita | Nurse Practitioner | 6010 Hidden Valley Rd, Suite 150, Carlsbad, CA 92011-4213 | 2015-11-16 |
| 1922478221 | Revive Orthopaedic Institute, Inc | Specialist | 6010 Hidden Valley Rd, Ste 210, Carlsbad, CA 92011-4213 | 2015-09-29 |
| 1265810576 | Algos Inc., A Medical Corporation | Psychologist | 6010 Hidden Valley Rd, Suite 110, Carlsbad, CA 92011-4213 | 2015-05-07 |
| 1770979106 | Urgent Care 3d Inc. | Clinic/Center | 6010 Hidden Valley Rd, Suite 150, Carlsbad, CA 92011-4213 | 2015-04-13 |
| 1467632596 | James D Kline | Chiropractor | 6010 Hidden Valley Rd, Ste. 107, Carlsbad, CA 92011-4213 | 2007-11-06 |
| 1730278656 | Am & Bb Imaging Center Inc | Radiology | 6010 Hidden Valley Rd, Suite 125, Carlsbad, CA 92011-4213 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1457876401 | Danika Enid Miranda | Behavioral Analyst | 2441 Palomar Airport Road #350, Carlsbad, CA 92011 | 2017-08-11 |
| 1902299472 | Jessica Tn Truong | Dentist | 520 Stern Way, Carlsbad, CA 92011 | 2015-03-09 |
| 1902140734 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 | 2012-11-16 |
| 1063522548 | Dawn Anderson | Physical Therapist | 6070 Avenida Encinas, Carlsbad, CA 92011 | 2006-08-30 |
| 1962512566 | Costco Wholesale Corporation | Pharmacy | 951 Palomar Airport Rd, Carlsbad, CA 92011 | 2006-08-30 |
| 1003860537 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 | 2006-05-20 |
| 1932176898 | Garrett J Tallman | Orthopaedic Surgery | 6125 Paseo Del Norte Ste 110, Carlsbad, CA 92011 | 2006-02-28 |
| 1821096157 | Paul Eric Dicesare | Orthopaedic Surgery | 1544 Weatherly Road, Carlsbad, CA 92011 | 2005-07-11 |
| 1699277897 | Priscilla Marie San Vicente | Technician, Other | 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011 | 2018-03-03 |
| Find all providers in zip 92011 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447424130 | Linh Nguy Tsai | Dentist | 1285 Carlsbad Village Dr, Carlsbad, CA 92008-1950 | 2008-04-15 |
| 1093921140 | Richard Allan Penman II | Dentist | 570 Laguna Dr, Suite A, Carlsbad, CA 92008-1607 | 2007-05-15 |
| 1639390172 | Christopher Lee Dixon | Dentist | 3144 El Camino Real Ste 102, Carlsbad, CA 92008-2194 | 2007-05-01 |
| 1902957145 | Priyadarshan Ashok Dabir | Dentist | 3257 Camino De Los Coches Ste 304, Carlsbad, CA 92009-8974 | 2007-01-15 |
| 1467983684 | Christopher Dixon, Dds Inc | Dentist | 3144 El Camino Real Ste 102, Carlsbad, CA 92008-2194 | 2017-03-21 |
| 1770034241 | Linh Tsai Dds, A Professional Corporation | Dentist | 1285 Carlsbad Village Dr, Carlsbad, CA 92008-1950 | 2016-10-20 |
| 1467857706 | Jenna Khoury Dmd Inc | Dentist | 7720 Rancho Santa Fe Rd, Suite D, Carlsbad, CA 92009 | 2014-10-29 |
| 1326475203 | Marta A. Penman, Dds, A Professional Dental Corporation | Dentist | 1207 Carlsbad Village Dr, Suite A, Carlsbad, CA 92008-1957 | 2013-10-08 |
| 1265783088 | P.a. Dabir Dds & Z.e.s. Cuisia | Dentist | 3257 Camino De Los Coches, Suite 304, Carlsbad, CA 92009-8974 | 2012-09-20 |
| 1679874358 | Cyrous Sheikh, Dds, Ms, Inc | Dentist | 6221 Metropolitan St, Suite 202, Carlsbad, CA 92009-3096 | 2010-11-10 |
| Find all providers in CARLSBAD | ||||
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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.