AMERICAN DENTAL IMPLANT CENTER (NPI# 1417381799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417381799 |
| Entity Type | Organization |
| Organization Name | AMERICAN DENTAL IMPLANT CENTER |
| Practice Address |
3007 Huntington Dr Ste 201 Pasadena CA 91107-5522 |
| Practice Telephone | 6265777770 |
| Practice Fax Number | 6265777777 |
| Mailing Telephone | 6265777770 |
| Mailing Fax Number | 6265777777 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | DR. JENNIFER CHA (OWNER) |
| Authorized Official Telephone | 6265777770 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
55788 | CA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | American Dental Implant Centers | 9725 E Hampden Ave Ste 400, Denver, CO 80231 |
| Street Address |
3007 HUNTINGTON DR STE 201 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-5522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275787210 | Mak and Kleiger, D.d.s. | Dentist | 959 E Walnut St Ste 216, Pasadena, CA 91106-5362 | 2008-11-04 |
| 1215133061 | Bertina Carmen Yuen | Dentist | 247 N Lake Ave, Pasadena, CA 91101-1828 | 2007-06-26 |
| 1508088675 | David R. Wyndhamsmith, A Professional Dental Corporation | Dentist | 1092 E Green St, Pasadena, CA 91106-2506 | 2007-05-02 |
| 1497972434 | Joel B. Henriod | Dentist | 72 N Hill Ave, Pasadena, CA 91106-1905 | 2007-04-19 |
| 1942328604 | Krikor Simonian | Dentist | 1156 E Green St, Suite 102, Pasadena, CA 91106-2515 | 2007-03-27 |
| 1386706828 | Anoushka Tandon | Dentist | 5106 Fairmont Parkway, Pasadena, TX 77505 | 2006-12-14 |
| 1669484689 | Charles Martin Brown | Dentist | 4010 Vista Rd Ste C, Pasadena, TX 77504-2140 | 2006-08-12 |
| 1134124761 | Allan Howard Charles | Dentist | 747 Locust St Ste 200, Ste 204, Pasadena, CA 91101-4457 | 2005-06-20 |
| 1689946980 | Miller & Henriod Dental Partnership | Dentist | 72 N Hill Ave, Pasadena, CA 91106-1905 | 2012-02-01 |
| 1083985741 | K. Moldenhauer | Dentist | 175 S El Molino Ave, Suite #7, Pasadena, CA 91101-2564 | 2012-01-25 |
| Find all providers in PASADENA | ||||
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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.