SUPAKIT PEANCHITLERTKAJORN DENTAL COORPORATION (NPI# 1518248814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518248814 |
| Entity Type | Organization |
| Organization Name | SUPAKIT PEANCHITLERTKAJORN DENTAL COORPORATION |
| Other Organization Name | HAYWARD BRACES |
| Practice Address |
1866 B St Ste 201 Hayward CA 94541-3139 |
| Practice Telephone | 5105817851 |
| Mailing Telephone | 5105817851 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | DR. SUPAKIT PEANCHITLERTKAJORN (OWNER) |
| Authorized Official Telephone | 5105817851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
56947 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1033228978 | 05 |
| Other Name | Type Code |
|---|---|
| Hayward Braces | Doing Business As Name - Organization |
| Street Address |
1866 B ST STE 201 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| 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 |
|---|---|---|---|---|
| 1205304508 | Hoang and Nguyen | Dentist | 777 Southland Dr Ste 100, Hayward, CA 94545-1558 | 2018-11-05 |
| 1275542342 | Rodney K. Ito Dds, Ms, Inc. | Dentist | 946 W Winton Ave, Hayward, CA 94545-1521 | 2006-08-06 |
| 1285283937 | Navarrete, Dds, Msd, Inc | Dentist | 21911 Foothill Blvd, Hayward, CA 94541-2118 | 2019-09-05 |
| 1275799074 | Hyeran Choo | Dentist | 19682 Hesperian Blvd, Suite 106, Hayward, CA 94541-4752 | 2008-07-31 |
| 1124220447 | Alfonso L Navarrete | Dentist | 21911 Foothill Blvd, Hayward, CA 94541-2118 | 2007-05-31 |
| 1023156775 | Shahram Nabipour | Dentist | 123 W Jackson St, Hayward, CA 94544-1809 | 2007-02-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.