BADII LEE DENTAL CORPORATION, INC (NPI# 1275875197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275875197 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC |
| Other Organization Name | SMILE WIDE |
| Practice Address |
777 Corporate Dr Suite 210 Ladera Ranch CA 92694-2135 |
| Practice Telephone | 9493640590 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | KIAVASH BADII (OWNER/DIRECTOR) |
| Authorized Official Telephone | 9493640590 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| SMILE WIDE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134417603 | Badii Lee Dental Corporation, Inc | Dentist | 14370 Culver Dr Ste A, Irvine, CA 92604-0319 | 2011-07-18 |
| 1417286303 | Badii Lee Dental Corporation, Inc | Dentist | 22330 Hawthorne Blvd., Suite 2016, Torrance, CA 90505 | 2009-12-23 |
| 1548652688 | Badii Lee Dental Corporation, Inc | Dentist | 25733 Barton Rd, Loma Linda, CA 92354-3812 | 2015-02-26 |
| 1093131807 | Badii Lee Dental Corporation, Inc | Dentist | 1007 W La Palma Ave, Suite 2, Anaheim, CA 92801-3620 | 2014-03-17 |
| 1285995209 | Badii Lee Dental Corporation, Inc | Dentist | 1801 Newport Blvd, Suite B, Costa Mesa, CA 92627-2701 | 2012-06-06 |
| 1912268939 | Badii Lee Dental Corporation, Inc | Dentist | 1109 W 17th St, Santa Ana, CA 92706-3505 | 2012-06-06 |
| 1710251764 | Badii Lee Dental Corporation, Inc | Dentist | 4980 Barranca Pkwy, Suite 101, Irvine, CA 92604-8645 | 2012-03-07 |
| 1902179658 | Badii Lee Dental Corporation, Inc | Dentist | 11351 183rd St, Cerritos, CA 90703-5434 | 2012-02-10 |
| Street Address |
777 CORPORATE DR SUITE 210 |
| City | LADERA RANCH |
| State | CA |
| Zip Code | 92694-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275636664 | Monique Maihuong Nguyen | Optometrist | 777 Corporate Dr, Ste 200, Ladera Ranch, CA 92694-2135 | 2006-09-07 |
| 1629485784 | Ladera Ranch Physical Therapy, LLC | Physical Therapist | 777 Corporate Dr, Suite 160, Ladera Ranch, CA 92694-2135 | 2014-07-21 |
| 1740619980 | Lincoln Parker Dmd A Professional Dental Corporation | Dentist | 777 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2135 | 2013-11-08 |
| 1831536846 | Lincoln Charles Parker | Dentist | 777 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2135 | 2013-05-30 |
| 1740528207 | Badii Orthodontics, Inc | Dentist | 777 Corporate Dr, 210, Ladera Ranch, CA 92694-2135 | 2013-01-17 |
| 1437420676 | Sharon Annamarie Randlett Major | Registered Nurse | 777 Corporate Dr, Ste 250, Ladera Ranch, CA 92694-2135 | 2012-01-19 |
| 1104111681 | Jill Danielle Kopeny | Physical Therapy Assistant | 777 Corporate Dr, Ste 160, Ladera Ranch, CA 92694-2135 | 2011-06-13 |
| 1093024861 | Linda Anne Rank | Physician Assistant | 777 Corporate Dr, Ste 150, Ladera Ranch, CA 92694-2136 | 2010-09-28 |
| 1255654398 | Ladera Ranch Physical Therapy | Physical Therapist | 777 Corporate Dr, Suite 160, Ladera Ranch, CA 92694-2135 | 2010-03-03 |
| 1316170624 | Fehrenbach, Yoshino, LLC | Physical Therapist | 777 Corporate Dr, Suite 160, Ladera Ranch, CA 92694-2135 | 2009-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1932690054 | Lauren Pamela Ramirez | Speech-Language Pathologist | 777 Corporate Dr. Ste #230, Ladera Ranch, CA 92694 | 2018-05-24 |
| 1568985091 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 30551 Gateway Pl, Rancho Mission Viejo, CA 92694 | 2017-07-17 |
| 1730635467 | Ginger Renee Hopkins | Physical Therapist | 2 Newkirk Road, Ladera Ranch, CA 92694 | 2016-09-01 |
| 1003283987 | Vigliarolo, D.d.s. Dental Corp | Dentist | 600 Corporate Dr #220, Ladera Ranch, CA 92694 | 2015-08-27 |
| 1629450358 | Medhat Fahim | Pharmacist | 27702 Crown Vally # B, Ladera Ranch, CA 92694 | 2015-06-18 |
| 1508291436 | Lucas Bingham M.d., Inc. | Dermatology | 600 Corporate Dr Ste 100, Ladera Ranch, CA 92694 | 2013-09-11 |
| 1861770083 | Christina Marie Bowles | Nurse Practitioner | 22 Downing St, Ladera Ranch, CA 92694 | 2011-07-22 |
| 1730499328 | Kimberly Ann Frank | Registered Nurse | 74 Garrison Loop, Ladera Ranch, CA 92694 | 2010-10-15 |
| 1578889390 | Let's Talk Speech & Language Therapy | Speech-Language Pathologist | 7 Merriweather Pl., Ladera Ranch, CA 92694 | 2010-04-19 |
| Find all providers in zip 92694 | ||||
| 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 |
|---|---|---|---|---|
| 1639676554 | Gire and Salmassian Dental Corporation | Dentist | 777 Corporate Dr Ste 210, Ladera Ranch, CA 92694-2142 | 2018-04-08 |
| 1043552920 | James Martin Meeks | Dentist | 800 Corporate Dr, Suite 220, Ladera Ranch, CA 92694-1152 | 2013-03-19 |
| 1053642876 | Harold Ethan Barkate | Dentist | 800 Corporate Dr, Suite 560, Ladera Ranch, CA 92694-1152 | 2010-01-18 |
| 1003913658 | James M. Meeks, Dds., Ms., Inc. | Dentist | 800 Corporate Dr, Suite 220, Ladera Ranch, CA 92694-1152 | 2006-09-17 |
| 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 |
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| City | LADERA RANCH |
| Zip Code | 92694 |
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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.