DR. CLARK E. SCHNEEKLUTH (NPI# 1225154636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225154636 |
| Entity Type | Individual |
| Full Name | DR. CLARK E. SCHNEEKLUTH |
| Credential | DDS, MS |
| Practice Address |
5253 Lampson Ave Garden Grove CA 92845-1953 |
| Mailing Address |
2642 Vista Ornada Newport Beach CA 92660-3540 |
| Practice Telephone | 7148983308 |
| Practice Fax Number | 7148940588 |
| Mailing Telephone | 7148983308 |
| Mailing Fax Number | 7148940588 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30693 | CA | Dental Providers |
| Street Address |
5253 LAMPSON AVE |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92845-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059352 | Maria Sanchez Selvas | Technician | 5922 Belgrave Ave, Garden Grove, CA 92845 | 2019-08-21 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1154745594 | Amanda Siu | Dentist | 12062 Valley View St #250, Garden Grove, CA 92845 | 2014-02-05 |
| 1295085660 | Harrell M Reznick | Psychologist | 12792 Longden St, Garden Grove, CA 92845 | 2012-09-13 |
| 1093065328 | Jessica Eldridge | Psychologist | 12777 Valley View, Suite 212, Garden Grove, CA 92845 | 2012-09-13 |
| 1205114501 | Hideki Ikeda D.d.s., M.s., Dental Corporation | Dentist | 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 | 2011-08-03 |
| 1669652533 | David D. Brown | Psychiatry & Neurology | 12062 Valley View St Ste 107, Garden Grove, CA 92845 | 2007-11-08 |
| 1427267608 | Stacy Derenard | Speech-Language Pathologist | 12060 Valley View St, Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1992914170 | Erin Dawn Densmore | Speech-Language Pathologist | 12060 Valley View St., Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1902944929 | Regency Hospice Inc | Hospice Care, Community Based | 12062 Valley View Street #125, Garden Grove, CA 92845 | 2007-02-02 |
| Find all providers in zip 92845 | ||||
| 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 |
|---|---|---|---|---|
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1205114501 | Hideki Ikeda D.d.s., M.s., Dental Corporation | Dentist | 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 | 2011-08-03 |
| 1588984413 | Trang Thuy Nguyen | Dentist | 9662 Mallard Ave, Garden Grove, CA 92844-2810 | 2010-06-02 |
| 1205159498 | Hideki Ikeda | Dentist | 12777 Valley View St Ste 222, Garden Grove, CA 92845-2522 | 2010-03-02 |
| 1598907586 | Jimmy Vu Ngo D.d.s., Inc | Dentist | 10562 Westminster Avenue, Suite #b, Garden Grove, CA 92843-4800 | 2009-04-06 |
| 1124147673 | C. Van Nguyen | Dentist | 10471 Hazard Ave, Garden Grove, CA 92843-5104 | 2007-03-28 |
| 1134145535 | Frank Kazuo Yorita | Dentist | 12777 Valley View St, Suite #222, Garden Grove, CA 92845-2507 | 2006-07-15 |
| 1518302587 | David Lee Dds, Ms, Inc | Dentist | 10212 Westminster Ave, Suites 104-105, Garden Grove, CA 92843-4800 | 2013-05-06 |
| 1477625630 | Robert Lee Jones | Dentist | 12511 Brookhurst St, Garden Grove, CA 92840-4806 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92845 |
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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.