DR. MICHAEL JOHN PAYNE II (NPI# 1245444272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245444272 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN PAYNE II |
| Credential | D.D.S. |
| Practice Address |
2901 Wilshire Blvd Ste 336 Santa Monica CA 90403-4912 |
| Practice Telephone | 3108284451 |
| Practice Fax Number | 3108284582 |
| Mailing Telephone | 3108284451 |
| Mailing Fax Number | 3108284582 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
52912 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BUSINESS TAXPAYER IDENTIFICATION NUMBER | 571222892 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138440 | Michael Payne | Specialist/Technologist | 2010 Warrior Way, Grovetown, GA 30813-8132 | 2019-01-14 |
| 1295275980 | Michael Lewis Payne | Pharmacist | 101 Oakview Dr., Darlington, SC 29532-2509 | 2017-03-01 |
| 1568899615 | Michael Todd Payne | Respiratory Therapist, Registered | 1410 Briarcroft Ln, Lugoff, SC 29078-9202 | 2013-10-03 |
| 1225379571 | Michael Garrett Payne | Student in an Organized Health Care Education/Training Program | 608 N 63rd St, Wauwatosa, WI 53213-4176 | 2013-03-12 |
| 1417244674 | Michael Lee Payne | Dentist | 2d Denbn/ndc, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2011-07-07 |
| 1407178171 | Michael Ray Payne | Speech-Language Pathologist | 25 Max Lane Dr, Jackson, TN 38305-2815 | 2010-02-23 |
| 1699006395 | Michael W Payne | Marriage & Family Therapist | 11828 Dublin Blvd, Suite O, Dublin, CA 94568-2830 | 2010-01-19 |
| 1093947145 | Michael James Payne | Community Health Worker | 2212 1st Ave, Sound Mental Health, Ste 200, Seattle, WA 98121-1615 | 2009-08-21 |
| 1306968342 | Michael D. Payne | Dentist | 3289 N Towerbridge Way, Meridian, ID 83642-8347 | 2007-04-03 |
| 1659432706 | Michael James Payne | Pharmacist | 1300 E. Robert S. Kerr, Wynnewood, OK 73098 | 2006-12-13 |
| Street Address |
2901 WILSHIRE BLVD STE 336 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346570215 | Michael J. Payne II, Dds. Inc. | Dentist | 2901 Wilshire Blvd Ste 336, Santa Monica, CA 90403-4912 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| 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 |
|---|---|---|---|---|
| 1013524800 | Shantel Noghrey Ramin | Dentist | 2903 Delaware Ave, Santa Monica, CA 90404-5014 | 2020-09-25 |
| 1255993069 | Omeed Mahboobian | Dentist | 829 26th St, Santa Monica, CA 90403-2201 | 2019-07-01 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1265815369 | Kevin Lee | Dentist | 1821 Wilshire Blvd Ste 646, Santa Monica, CA 90403-5674 | 2015-07-07 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1922309574 | Adrienne Vera Hecht | Dentist | 1317 26th St Apt 2, Santa Monica, CA 90404-2020 | 2010-11-13 |
| 1316253016 | William Chin | Dentist | 1253 7th St, Suite 200, Santa Monica, CA 90401-1617 | 2010-08-19 |
| 1134431513 | Benjamin Freed | Dentist | 2730 Wilshire Blvd Ste 201, Santa Monica, CA 90403-4744 | 2010-07-13 |
| 1275782641 | Elliot Paul Schlang Dds Professional Corporation | Dentist | 240 18th St, Santa Monica, CA 90402-2404 | 2008-09-10 |
| 1932355385 | David Youssefi | Dentist | 2428 Santa Monica Blvd Ste 403, Santa Monica, CA 90404-2047 | 2008-08-15 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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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.