KIRK IRA MORAN (NPI# 1174893887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174893887 |
Entity Type | Individual |
Full Name | KIRK IRA MORAN |
Credential | D.M.D., M.S. |
Practice Address |
5750 W Thunderbird Rd Suite H-800 Glendale AZ 85306-4660 |
Practice Telephone | 6029782100 |
Practice Fax Number | 6029780708 |
Mailing Telephone | 6029782100 |
Mailing Fax Number | 6029780708 |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3062 | AZ | Dental Providers |
Street Address |
5750 W THUNDERBIRD RD SUITE H-800 |
City | GLENDALE |
State | AZ |
Zip Code | 85306-4660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437152436 | Parmjeet Kumar Banghar | Internal Medicine | 5750 W Thunderbird Rd, Ste C300, Glendale, AZ 85306-4660 | 2005-05-23 |
1336607746 | Sunlight Medical Services Pllc | Clinic/Center | 5750 W Thunderbird Rd, Suite F-640, Glendale, AZ 85306 | 2019-03-05 |
1366993685 | Pamela Joann Edwards Haire | Nurse Practitioner | 5750 W Thunderbird Rd, Ste. C-300, Glendale, AZ 85306-4660 | 2016-10-21 |
1760845978 | Peter S. Nelson, Dds, Pllc | Dentist | 5750 W Thunderbird Rd, H850, Glendale, AZ 85306-4660 | 2016-04-04 |
1043695018 | Sarah Christine Ontiveros | Nurse Practitioner | 5750 W Thunderbird Rd, Suite B200, Glendale, AZ 85306-4660 | 2015-07-20 |
1114355526 | Julie Christenson | Dietitian, Registered | 5750 W Thunderbird Rd, Suite G-790, Glendale, AZ 85306-4660 | 2013-10-22 |
1548507510 | Arizona Center for Hematology and Oncology, Plc | Urology | 5750 W Thunderbird Rd, Suite C300, Glendale, AZ 85306-4660 | 2013-01-11 |
1417216607 | Arizona Center for Hematology and Oncology, Plc | Internal Medicine | 5750 W Thunderbird Rd, C300, Glendale, AZ 85306-4660 | 2012-05-09 |
1467725945 | Hetal Trivedi | Nurse Practitioner | 5750 W Thunderbird Rd, Suite # C-300, Glendale, AZ 85306-4660 | 2012-02-15 |
1437434602 | Vicky Dramaretska | Physician Assistant | 5750 W Thunderbird Rd, Suite F-640, Glendale, AZ 85306-4691 | 2011-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
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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 |
---|---|---|---|---|
1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
1134691629 | Hunter Orthodontics Pllc | Dentist | 6525 W Sack Dr Ste 101, Glendale, AZ 85308-7106 | 2018-12-20 |
1578038121 | Sun Orthodontics, LLC | Dentist | 4901 W Bell Rd Ste 120, Glendale, AZ 85308-3465 | 2018-10-10 |
1407200694 | Tina Keun Nan Park | Dentist | 962 Calle Amable, Glendale, CA 91208-3062 | 2016-04-14 |
1609246792 | Ninette Hacopian | Dentist | 1122 Linden Ave, Apt 2, Glendale, CA 91201-1550 | 2015-10-01 |
1588082754 | Vina Zinn Saperstein | Dentist | 5750 W Thunderbird Rd Ste H800, Glendale, AZ 85306-4675 | 2014-04-03 |
1699019240 | The Orthodontic Studio | Dentist | 3600 N Verdugo Rd Ste 200, Glendale, CA 91208-1258 | 2012-11-20 |
1356580963 | Melissa Kim Lee | Dentist | 345 N Kenwood St Apt 206, Glendale, CA 91206-5406 | 2009-02-05 |
1992976484 | Armne Kartalian | Dentist | 666 W Lexington Dr, Glendale, CA 91203-1662 | 2008-03-12 |
1447442546 | Aurelia Bedard | Dentist | 18555 N 79th Ave Ste A102, Glendale, AZ 85308-8371 | 2007-08-13 |
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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.