MR. CARLOS HERIBERTO QUINONEZ (NPI# 1538760459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538760459 |
| Entity Type | Individual |
| Full Name | MR. CARLOS HERIBERTO QUINONEZ |
| Credential | RDHAP, BS |
| Practice Address |
16077 Chella Dr Hacienda Heights CA 91745-6402 |
| Practice Telephone | 3234475480 |
| Mailing Telephone | 3234475480 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | 742 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RDHAP | 742 | 01 |
| CA | DENTAL HYGIENE BOARD OF CALIFORNIA | 742 | 01 |
| Street Address |
16077 CHELLA DR |
| City | HACIENDA HEIGHTS |
| State | CA |
| Zip Code | 91745-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528534963 | Dr Huang's Dental Corp | Clinic/Center | 15724 E Gale Av, Hacienda Heights, CA 91745 | 2018-10-23 |
| 1427570175 | Christopher Aoyama Chiropractic Corporation | Chiropractor | 2131 S. Hacienda Blvd., Hacienda Heights, CA 91745 | 2017-07-14 |
| 1194175695 | Wu Ying | Acupuncturist | 14601 Wedgeworth Dr., Hacienda Heights, CA 91745 | 2016-06-15 |
| 1417317975 | Helen Xu | Pharmacist | 15578 E Gale Ave, Hacienda Heights, CA 91745 | 2016-02-26 |
| 1962869545 | Optometrx | Optometrist | 17134b Colima Road, Hacienda Heights, CA 91745 | 2016-01-27 |
| 1033526561 | Eric Han-peng Huang | Dentist | 15220 Los Robles Ave, Hacienda Heights, CA 91745 | 2014-07-16 |
| 1548686686 | Vicki Lufei | Acupuncturist | 15568 Cristalino St., Hacienda Heights, CA 91745 | 2014-03-13 |
| 1821433822 | Zhigang Liu | Acupuncturist | 15896 E Gale Ave., Hacienda Heights, CA 91745 | 2013-05-03 |
| 1043559230 | Viola S. Iskarous | Dentist | 2440 South Hacienda Blvd, Suite 233, Hacienda Heights, CA 91745 | 2013-02-07 |
| 1992059836 | Young Kim, Dds, Inc. | Dentist | 16388 Colima Road, Suite #201, Hacienda Heights, CA 91745 | 2012-10-30 |
| Find all providers in zip 91745 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753298 | Lynnette Bradley | Advanced Practice Dental Therapist | 4218 Giles Ct, Riverside, CA 92503-3154 | 2019-10-31 |
| 1598314023 | Peter Korn | Advanced Practice Dental Therapist | 11135 Rosemary Dr, Auburn, CA 95603-5945 | 2019-09-06 |
| 1154982395 | Evelyn Marie Schrager | Advanced Practice Dental Therapist | 803 E Woodhaven Ln, Fresno, CA 93720-1209 | 2019-06-27 |
| 1558828160 | Charon Moody | Advanced Practice Dental Therapist | 727 E Holborn Dr, Carson, CA 90746-2328 | 2019-03-01 |
| 1104371368 | Marie Ekins Rdhap Corp | Advanced Practice Dental Therapist | 10831 Canelo Rd, Whittier, CA 90604-1902 | 2016-08-17 |
| 1922484682 | Travis Tramel | Advanced Practice Dental Therapist | 4199 Flat Rock Dr, Suite 127, Riverside, CA 92505-7115 | 2015-08-05 |
| 1851774186 | Terri De La Pena | Advanced Practice Dental Therapist | 10011 Shaggybark Dr, Santee, CA 92071-1136 | 2015-07-06 |
| 1720470230 | Christine Jackson-bartolomei | Advanced Practice Dental Therapist | 4806 Darlington Ln, Sacramento, CA 95835-2000 | 2015-02-21 |
| 1356753826 | Megan Ellen Graff | Advanced Practice Dental Therapist | 6084 Gold Spirit St, Eastvale, CA 92880-0988 | 2014-06-02 |
| 1275958597 | Theresa Zenner Clouse | Advanced Practice Dental Therapist | 1849 S Tamarack St, Visalia, CA 93277-8422 | 2014-02-24 |
| Find all providers with the same taxonomy | ||||
| City | HACIENDA HEIGHTS |
| Zip Code | 91745 |
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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.