WESTERN DENTAL SERVICES, INC. (NPI# 1184770588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184770588 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
1230 S Mooney Blvd Visalia CA 93277-4436 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 5596240503 |
| Practice Fax Number | 5596240548 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | PREET TAKKAR (CHIEF INFORMATION OFFICER) |
| Authorized Official Telephone | 7145713372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150-03 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
1230 S MOONEY BLVD |
| City | VISALIA |
| State | CA |
| Zip Code | 93277-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093878720 | Somboon Larpthaveesarp | Dentist | 1230 S Mooney Blvd, Visalia, CA 93277-4436 | 2006-12-17 |
| 1538559877 | Nandita Ashokkumar Chandarana | Dentist | 1230 S Mooney Blvd, Visalia, CA 93277-4436 | 2015-01-26 |
| 1407156789 | Chadi Bridi | Dentist | 1230 S Mooney Blvd, Visalia, CA 93277-4436 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041345 | Jonathan Edward Urey | Hearing Instrument Specialist | 4006 S Demaree St., Visalia, CA 93277 | 2020-10-21 |
| 1093341307 | Kings Medical Center | Occupational Therapist | 5135 W. Noble Ave, Visalia, CA 93277 | 2020-03-18 |
| 1447728738 | Azucena Alcantar | Behavior Technician | 1730 W. Walnut Avenue, Suite A, Visalia, CA 93277 | 2018-11-05 |
| 1770077620 | Debra Kay Schmitt | Social Worker | 4150 S Demaree St Ste C, Visalia, CA 93277 | 2018-06-14 |
| 1356839773 | Jay Gabriel Diaz | Counselor | 1646 South Court Street, Visalia, CA 93277 | 2018-05-01 |
| 1194212696 | Turning Point of Central California Inc. | Counselor | 1845 1/2 South Court Street, Visalia, CA 93277 | 2018-04-19 |
| 1386141497 | Sara Hoehn | Assistant Behavior Analyst | 11535 Rd. 264, Visalia, CA 93277 | 2018-04-06 |
| 1578074035 | Yan Jiang | Nurse Practitioner | 1633 S Court Stress, Visalia, CA 93277 | 2017-10-23 |
| 1407375702 | Tara Perez | Counselor | 6500 S. Mooney Blvd, Visalia, CA 93277 | 2017-09-18 |
| 1780106948 | Brooke Kiyo Norton | Psychologist | 5215 W Noble Ave, Suite A-19, Visalia, CA 93277 | 2017-07-10 |
| Find all providers in zip 93277 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346715323 | Cameron Scott Loeffler | Dentist | 2626 S Mooney Blvd Ste C, Visalia, CA 93277-6203 | 2018-10-05 |
| 1023537214 | Jose Pablo Rigor | Dentist | 3206 N Dinuba Blvd Ste F, Visalia, CA 93291-8730 | 2017-09-19 |
| 1053783746 | Nathan Alan Loeffler | Dentist | 2626 S. Mooney Blvd., Suite A, Visalia, CA 93277 | 2015-10-21 |
| 1235512906 | Heather Renee Hong | Dentist | 4129 S Mooney Blvd Ste B, Visalia, CA 93277-9147 | 2015-06-30 |
| 1174870497 | Patricia Ibarra Torres-molina | Dentist | 4129 S Mooney Blvd, Visalia, CA 93277-9147 | 2012-08-06 |
| 1801026802 | Christopher Jarett Fammatre | Dentist | 12005 Avenue 340, Visalia, CA 93291-8958 | 2009-07-24 |
| 1851598718 | Nicholas Jon Sampietro | Dentist | 1140 N Chinowth, Visalia, CA 93291-4113 | 2007-07-02 |
| 1790991974 | Christi Ana Iliuta Dds | Dentist | 609 W Acequia Dr, Suite D, Visalia, CA 93291 | 2007-05-15 |
| 1467672196 | Philip Huy Doan | Dentist | 3648 S Mooney Blvd, Visalia, CA 93277-8019 | 2007-04-26 |
| 1013133750 | Gilbert B Lam | Dentist | 2136 N Dinuba Blvd, Ste A, Visalia, CA 93291-2011 | 2007-04-18 |
| Find all providers in VISALIA | ||||
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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.