DR. PHILIP MATTHEW NISCO (NPI# 1801019443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801019443 |
| Entity Type | Individual |
| Full Name | DR. PHILIP MATTHEW NISCO |
| Credential | DDS |
| Practice Address |
17220 Newhope St Ste 227 Fountain Valley CA 92708-4272 |
| Practice Telephone | 7149791400 |
| Practice Fax Number | 7149791403 |
| Mailing Telephone | 7149791400 |
| Mailing Fax Number | 7149791403 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
032598 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | G92261-01 | 01 |
| Street Address |
17220 NEWHOPE ST STE 227 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698767 | Duke A Phan Md Neurology Inc | Psychiatry & Neurology | 17220 Newhope St, Suite 217, Fountain Valley, CA 92708-4272 | 2005-09-07 |
| 1639669963 | Betty Marin | Registered Nurse | 17220 Newhope St, Fountain Valley, CA 92708-4272 | 2018-05-11 |
| 1871902239 | Kelly Lin | Marriage & Family Therapist | 17220 Newhope St, #205, Fountain Valley, CA 92708-4272 | 2014-08-10 |
| 1295165686 | Cindy Majdecki | Acupuncturist | 17220 Newhope St, Suite 123, Fountain Valley, CA 92708-4272 | 2013-11-20 |
| 1043590250 | Kaitlyn Phuong Nguyen | Physician Assistant | 17220 Newhope St, #125, Fountain Valley, CA 92708-4272 | 2011-08-18 |
| 1932403441 | Acessmd Medical Group, Inc | Internal Medicine | 17220 Newhope St, #125, Fountain Valley, CA 92708-4272 | 2010-12-28 |
| 1396055414 | Advanced Healthcare Associates, Inc | Internal Medicine | 17220 Newhope St, 125, Fountain Valley, CA 92708-4272 | 2010-10-08 |
| 1073843660 | Andrew Chun Kim | Dentist | 17220 Newhope St, Suite 201, Fountain Valley, CA 92708-4272 | 2010-01-05 |
| 1346579141 | Kim & Kim Dds Dental Corporation | Dentist | 17220 Newhope St, Suite 201, Fountain Valley, CA 92708-4272 | 2009-12-08 |
| 1437352630 | Duke An Michael Phan | Psychiatry & Neurology | 17220 Newhope St, Suite 217, Fountain Valley, CA 92708-4272 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1932688603 | A&k Orthodontics, Inc. | Dentist | 9430 Warner Ave Ste E, Fountain Valley, CA 92708-2863 | 2018-08-13 |
| 1194913673 | Philip M. Nisco, D.d.s., Inc | Dentist | 17720 Newhope St, Suite #227, Fountain Valley, CA 92708 | 2007-10-09 |
| 1487875589 | Donald D Karich | Dentist | 10990 Warner Ave Ste I, Fountain Valley, CA 92708-3849 | 2007-05-02 |
| 1881716033 | Thomas P. Rose | Dentist | 17900 Brookhurst St., Suite C, Fountain Valley, CA 92708-5161 | 2007-04-06 |
| 1629124524 | Hung V Vu | Dentist | 16027 Brookhurst St Ste K, Fountain Valley, CA 92708-1551 | 2007-01-25 |
| 1538229406 | Chi Bui | Dentist | 18121 Magnolia St, Fountain Valley, CA 92708-5647 | 2006-12-11 |
| 1194124370 | Donald D. Karich D.d.s. Inc | Dentist | 10990 Warner Ave Ste I, Fountain Valley, CA 92708-3849 | 2014-08-14 |
| 1285921668 | Consumerhealth, Inc. | Dentist | 18633 Brookhurst St, Fountain Valley, CA 92708-6748 | 2011-07-06 |
| 1972715423 | Kevin Kieu Dds,ms,inc. | Dentist | 10130 Warner Ave, Suite I, Fountain Valley, CA 92708-1619 | 2007-05-05 |
| 1497863765 | Kevin Nam Kieu | Dentist | 10130 Warner Ave, Suite I, Fountain Valley, CA 92708-1619 | 2006-08-28 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.