DR. KATHERINE AHN WALLACE (NPI# 1790843381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790843381 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE AHN WALLACE |
| Credential | D.D.S. |
| Practice Address |
7801 Center Ave Suite 101 Huntington Beach CA 92647-9110 |
| Practice Telephone | 7142302400 |
| Mailing Telephone | 7142302410 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 41055 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
41055 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
41055 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734886 | Katherine Abigail Wallace | Registered Nurse | 43 Cottage St, Milbridge, ME 04658-3534 | 2020-03-10 |
| 1548650617 | Katherine Marie Wallace | Nurse Practitioner | 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 | 2015-01-28 |
| 1942583893 | Katherine Sue Wallace | Counselor | 408 S Gideon Ave, Gideon, MO 63848-9200 | 2011-09-27 |
| 1801385349 | Katherine H Wallace | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2018-05-09 |
| 1891190831 | Katherine Lucas Wallace | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2014-11-04 |
| 1124395603 | Katherine J Wallace | Nutritionist | 675 W Washington Ave, Madison, WI 53703-2637 | 2011-11-28 |
| 1518261312 | Katherine Chandler Wallace | Clinical Nurse Specialist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2011-01-07 |
| 1851516371 | Katherine G. Wallace | Marriage & Family Therapist | 147 County Rd, Gorham, ME 04038-1916 | 2007-04-17 |
| 1750438883 | Katherine Ann Wallace | Physical Therapist | 5901 Roosevelt Way Ne, Suite B, Seattle, WA 98105-2754 | 2007-01-04 |
| Street Address |
7801 CENTER AVE SUITE 101 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-9110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932277886 | Huntington Surgery Center, Inc | Clinic/Center | 7801 Center Ave, Suite 102, Huntington Beach, CA 92647-9110 | 2006-11-30 |
| 1558780494 | Katherine Ahn Dds A Dental Corporation | Dentist | 7801 Center Ave, Suite 101, Huntington Beach, CA 92647-9110 | 2014-04-08 |
| 1649698143 | Image Plastic Surgery Center A Medical Corporation | Surgery | 7801 Center Ave, 201, Huntington Beach, CA 92647-9110 | 2014-04-01 |
| 1245553882 | Margarita J Bernett | Plastic Surgery | 7801 Center Ave, Suite 201, Huntington Beach, CA 92647-9110 | 2010-03-10 |
| 1548404486 | Margarita J Bernett, M.d., Inc. | Plastic Surgery | 7801 Center Ave, Suite 102, Huntington Beach, CA 92647-9110 | 2009-04-22 |
| 1801964655 | Peter Newen | Surgery | 7801 Center Ave, Suite 201, Huntington Beach, CA 92647-9110 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907380 | Kevin Thanh Nguyen | Dentist | 17742 Beach Blvd Ste 350, Huntington Beach, CA 92647-6854 | 2020-09-21 |
| 1679182869 | Abrishami Basti Dental Corporation | Dentist | 6552 Bolsa Ave Ste Q, Huntington Beach, CA 92647-2656 | 2020-07-24 |
| 1831707108 | Tiffany Nguyenfa | Dentist | 16987 Roundhill Dr, Huntington Beach, CA 92649-4213 | 2020-07-22 |
| 1477109353 | Kelly S Jin | Dentist | 6612 Silverspur Ln, Huntington Beach, CA 92648-1503 | 2019-08-15 |
| 1164917092 | Antonious Dawood | Dentist | 16171 Tomas Ln, Huntington Beach, CA 92649-2432 | 2018-06-23 |
| 1457861635 | K Whelan Dds Inc | Dentist | 18700 Main St Ste 208, Huntington Beach, CA 92648-1714 | 2017-10-02 |
| 1215450267 | Wynn Shang | Dentist | 21222 Beach Blvd, Huntington Beach, CA 92648-5411 | 2017-07-21 |
| 1326576554 | Alexandria N. Arditti Dds, Dental Corporation | Dentist | 18800 Delaware St Ste 700, Huntington Beach, CA 92648-6018 | 2017-06-01 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1588011373 | Derrick Tuan Pham | Dentist | 19720 Beach Blvd Ste A, Huntington Beach, CA 92648-2987 | 2016-05-21 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.