WESTERN DENTAL SERVICES, INC. (NPI# 1235285586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235285586 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
1100 N Gateway Dr Madera CA 93637-9600 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 5596615120 |
| Practice Fax Number | 5596615128 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-05-16 |
| 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 | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150-15 | 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 |
1100 N GATEWAY DR |
| City | MADERA |
| State | CA |
| Zip Code | 93637-9600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689741613 | Ahmed E Elsayed | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2006-11-28 |
| 1851953418 | Yangda Lin | Dentist | 1100 N Gateway Dr, Madera, CA 93637 | 2019-07-03 |
| 1154886398 | Shwan Raouf Mohammed | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2019-02-01 |
| 1215415047 | Ashraf Hasasneh | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2018-08-02 |
| 1114433703 | Jun Sik Kim | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2017-12-19 |
| 1750808689 | Srujana Katireddy | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2017-08-22 |
| 1144754227 | Kenneth Smith | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2017-04-17 |
| 1851443451 | Mengya Huang | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2007-01-17 |
| 1215004833 | Carlos E Velarde | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2006-11-29 |
| 1669549242 | Tauqeer Sarang | Dentist | 1100 N Gateway Dr, Madera, CA 93637-9600 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
| 1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
| 1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
| 1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
| 1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
| 1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
| 1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
| Find all providers in zip 93637 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1255884664 | Lovik Karmell Dds, Dental Corp | Dentist | 500 E Almond Ave Ste 3, Madera, CA 93637-5600 | 2016-08-02 |
| 1790145134 | Dhillon Dental Corp | Dentist | 121 N I St, Madera, CA 93637-4408 | 2016-02-27 |
| 1386061869 | Qianmin Wang Dds,inc | Dentist | 1129 W 4th St Ste B, Madera, CA 93637-4477 | 2014-03-24 |
| 1609217264 | Tim G. Peffly | Dentist | 615 N I St, Madera, CA 93637-3075 | 2013-07-11 |
| 1881999282 | D. Scott Stevinson Dds/ Michael J. Stevinson Dds | Dentist | 816 Emily Way, Madera, CA 93637-5646 | 2011-01-14 |
| 1356572671 | Crystal Nassar | Dentist | 518 Barsotti Ave, Madera, CA 93637-3047 | 2009-08-04 |
| 1649448556 | Josefina Joco Nazareno | Dentist | 3211 Summer Lane, Madera, CA 93637 | 2008-02-13 |
| 1326254400 | Armando Quiroz Anguiano | Dentist | 509 S I St Ste D, Madera, CA 93637-4660 | 2007-05-15 |
| 1558573931 | Dawn Z Power | Dentist | 950 E Almond Ave Ste 102, Madera, CA 93637-5694 | 2007-05-05 |
| Find all providers in MADERA | ||||
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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.