THEODORE BURNETT, DDS, INC (NPI# 1508245192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508245192 |
| Entity Type | Organization |
| Organization Name | THEODORE BURNETT, DDS, INC |
| Other Organization Name | LOS ANGELES DENTAL ARTS |
| Practice Address |
8540 S Sepulveda Blvd Suite 918 Los Angeles CA 90045-3807 |
| Practice Telephone | 3106700379 |
| Practice Fax Number | 3106700922 |
| Mailing Telephone | 3106700379 |
| Mailing Fax Number | 3106700922 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | THEODORE BURNETT (OWNER/DENTIST) |
| Authorized Official Telephone | 3106700379 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 36342 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Los Angeles Dental Arts | Doing Business As Name - Organization |
| Street Address |
8540 S SEPULVEDA BLVD SUITE 918 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992738 | Ifeoma Stella Izuchukwu | Internal Medicine | 8540 S Sepulveda Blvd, Ste 116, Los Angeles, CA 90045-3819 | 2005-06-16 |
| 1770034159 | Danielle Alyse Brown | Dentist | 8540 S Sepulveda Blvd, 1102, Los Angeles, CA 90045-3807 | 2016-10-20 |
| 1346608676 | George B. Shinn Dds P.c | Dentist | 8540 S Sepulveda Blvd, #1200, Los Angeles, CA 90045-3807 | 2016-02-01 |
| 1770955809 | Benjamin Rosenberg, Dds Apc | Clinic/Center | 8540 S Sepulveda Blvd, Ste 1000, Los Angeles, CA 90045-3807 | 2015-10-28 |
| 1902204621 | Richard Barry Feinstein | Dentist | 8540 S Sepulveda Blvd, Suite 1210, Los Angeles, CA 90045-3807 | 2014-12-11 |
| 1750787800 | Omid Vatan Dental Corp | Dentist | 8540 S Sepulveda Blvd, 108, Los Angeles, CA 90045-3807 | 2014-11-17 |
| 1265834121 | Sony Naing | Nurse Practitioner | 8540 S Sepulveda Blvd, Suite 818-a, Los Angeles, CA 90045-3807 | 2014-09-23 |
| 1790199370 | Andrew Leitner Md Inc | Anesthesiology | 8540 S Sepulveda Blvd, Suite 910, Los Angeles, CA 90045-3807 | 2014-06-11 |
| 1164859666 | Optimal Physical Therapy Inc | Physical Therapist | 8540 S Sepulveda Blvd, Ste 916, Los Angeles, CA 90045-3807 | 2013-09-30 |
| 1760728521 | Oyinda F Akenzua Md Inc | Clinic/Center | 8540 S Sepulveda Blvd, Suite 150, Los Angeles, CA 90045-3807 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1134729601 | Enas Tayyem | Dentist | 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 | 2020-10-26 |
| 1639776073 | Stephanie Jeanne Bauman | Dentist | 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 | 2020-10-08 |
| 1316544570 | Azzah Widatalla | Dentist | 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 | 2020-10-01 |
| 1104433796 | Irena Starchenko | Dentist | 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 | 2020-09-28 |
| 1134734353 | Mark Park | Dentist | 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 | 2020-09-14 |
| 1740895150 | Chantelle Aabedi | Dentist | 2711 Casiano Rd, Los Angeles, CA 90077-9007 | 2020-09-11 |
| 1801401542 | Yojeong Cho | Dentist | 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 | 2020-09-10 |
| 1518572247 | William Hwang | Dentist | 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 | 2020-09-10 |
| 1912511056 | Shervin Moshashaei | Dentist | 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 | 2020-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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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.