MY DENTIST AND ME PEDIATRIC DENTISTRY (NPI# 1295145662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295145662 |
| Entity Type | Organization |
| Organization Name | MY DENTIST AND ME PEDIATRIC DENTISTRY |
| Practice Address |
5225 Canyon Crest Dr #309 Riverside CA 92507-6301 |
| Practice Telephone | 7125743307 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | CHRISTINE MIN (PARTNER) |
| Authorized Official Telephone | 7125743307 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
56036 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
61151 | CA | Dental Providers |
| Street Address |
5225 CANYON CREST DR #309 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174513741 | Marsie Campbell | Marriage & Family Therapist | 5225 Canyon Crest Dr, Ste 152, Riverside, CA 92507-6301 | 2005-10-25 |
| 1639780869 | Tu Anh Nguyen | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2020-08-12 |
| 1598384968 | Renee Colleen Davis | Marriage & Family Therapist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2020-04-15 |
| 1093146987 | Alexandra Kantor | Dentist | 5225 Canyon Crest Dr, Suite 209, Riverside, CA 92507-6301 | 2013-12-03 |
| 1205274354 | Cassandra Zeiler | Social Worker | 5225 Canyon Crest Dr, Bldg. 100, Suite 103, Riverside, CA 92507-6301 | 2013-06-11 |
| 1801230891 | Evita Marie Rocha | Psychiatry & Neurology | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2013-04-22 |
| 1053663278 | Alexandria Christine Brent | Dentist | 5225 Canyon Crest Dr, 209, Riverside, CA 92507-6301 | 2012-10-11 |
| 1992090989 | Tony Ho | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2011-06-17 |
| 1619281706 | Adel F Zaki | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2010-07-30 |
| 1578874012 | Thalia Phuong Phi | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1063532802 | Mohammad Abul Fielat Dds Inc | Dentist | 3564 Van Buren Blvd, Riverside, CA 92503-4214 | 2007-03-29 |
| 1174642284 | Roy M. Beam | Dentist | 7001 Indiana Ave, Suite # 9, Riverside, CA 92506-4100 | 2007-03-28 |
| 1689896326 | Robert B Martin | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-05-03 |
| 1427125541 | Gary D Lee | Dentist | 3487 Central Ave, Riverside, CA 92506 | 2006-11-30 |
| 1033285275 | Sheila Ann Muller | Dentist | 7251 Magnolia Ave, Riverside, CA 92504 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1780205047 | Fariborz Rodef Dental Corporation | Dentist | 233 South Fremont Ave, Alhambra, CA 91801 | 2020-04-28 |
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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.