PASADENA MODERN DENTISTRY, PC (NPI# 1508417999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508417999 |
| Entity Type | Organization |
| Organization Name | PASADENA MODERN DENTISTRY, PC |
| Practice Address |
5714 Fairmont Pkwy Pasadena TX 77505-3906 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 2816198170 |
| Practice Fax Number | 2815730758 |
| Mailing Telephone | 7148458500 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | DR. JOHN S BARNES (DDS/OWNER) |
| Authorized Official Telephone | 2816198170 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
5714 FAIRMONT PKWY |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
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| 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 |
|---|---|---|---|---|
| 1780294033 | Tracy Ho | Dentist | 3015 Gainsborough Dr, Pasadena, CA 91107-5509 | 2020-08-02 |
| 1528629300 | Aditya Wagh | Dentist | 2000 Richey St Ste B, Pasadena, TX 77502-3332 | 2019-06-24 |
| 1518475540 | Seleem Dental Inc. | Dentist | 133 S Los Robles Ave Unit 100, Pasadena, CA 91101-5824 | 2018-01-11 |
| 1760923429 | Giselle Galanto | Dentist | 267 S Oak Knoll Ave, Apt 18, Pasadena, CA 91101-2925 | 2017-03-14 |
| 1134592199 | Southern Dental At Pasadena Pllc | Dentist | 7219 Fairmont Pkwy Ste 100, Pasadena, TX 77505-4612 | 2015-11-12 |
| 1003286519 | Tian Jin | Dentist | 788 E Walnut St, Pasadena, CA 91101-1638 | 2015-09-28 |
| 1942676382 | Arianna Damian Yeh | Dentist | 164 N Oak Knoll Ave, Apt 7, Pasadena, CA 91101-1846 | 2015-08-20 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1861878969 | Abc Dentistry Pasadena Pa | Dentist | 1500 Southmore Ave, Pasadena, TX 77502-1307 | 2015-07-31 |
| 1861875288 | Thu Hong Nguyen | Dentist | 5106 Fairmont Pkwy, Pasadena, TX 77505-3728 | 2015-07-02 |
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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.