COLUMBIA DENTAL SPECIALTY GROUP


Address: 1807 Wilshire Blvd, Ste A, Santa Monica, CA 90403-5652
Phone: 3102641711

COLUMBIA DENTAL SPECIALTY GROUP (NPI# 1851790661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851790661
Entity Type Organization
Organization Name COLUMBIA DENTAL SPECIALTY GROUP
Practice Address 1807 Wilshire Blvd
Ste A
Santa Monica
CA 90403-5652
Practice Telephone 3102641711
Practice Fax Number 3104536486
Mailing Telephone 3102641711
Mailing Fax Number 3104536486
Enumeration Date 2014-08-18
Last Update Date 2014-08-18
Authorized Official Name DR. JENNIFER CHANG (PRESIDENT/OWNER)
Authorized Official Telephone 3102641711
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223E0200X Dentist
Specialization: Endodontics
59653 CA Dental Providers
Y 1223P0300X Dentist
Specialization: Periodontics
53057 CA Dental Providers

Office Location

Street Address 1807 WILSHIRE BLVD
STE A
City SANTA MONICA
State CA
Zip Code 90403-5652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174553994 Gavin Bahadur Ophthalmology 1807 Wilshire Blvd, Suite 203, Santa Monica, CA 90403-5652 2006-07-04
1073966495 Shaun Bornstein Acupuncturist 1807 Wilshire Blvd, 200, Santa Monica, CA 90403-5652 2016-07-20
1033563457 Emperor's College of Traditional Oriental Medicine Clinic/Center 1807 Wilshire Blvd, Santa Monica, CA 90403-5652 2016-04-21
1851715346 Jules Stein Eye Center-santa Monica Ophthalmology 1807 Wilshire Blvd, Suite 203, Santa Monica, CA 90403-5652 2014-02-05
1780011189 Columbia Dental Group Dentist 1807 Wilshire Blvd, Suite A, Santa Monica, CA 90403-5652 2013-09-30
1780962365 Bliss Ob/gyn, Inc. Obstetrics & Gynecology 1807 Wilshire Blvd, Suite C, Santa Monica, CA 90403-5652 2011-07-29
1225349988 Santa Monica Bay Physicians Optometrist 1807 Wilshire Blvd, Suite 203, Santa Monica, CA 90403-5652 2010-06-28
1336460864 Carol E Davis, M.d. Medical Clinic of Ophthalmology, Inc. Ophthalmology 1807 Wilshire Blvd, Ste. 203, Santa Monica, CA 90403-5652 2010-06-18
1215168000 Romy Schwartz Acupuncturist 1807 Wilshire Blvd, Santa Monica, CA 90403-5652 2009-07-28
1487804308 Rand Mcclain Family Medicine 1807 Wilshire Blvd, Suite 205, Santa Monica, CA 90403-5652 2008-09-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427520972 Isobel Gardner Marriage & Family Therapist 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 2018-12-21
1477030369 Jennifer Garcia Dentist 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 2018-07-23
1215435847 The Balance Lab Physical Therapy and Fitness Physical Therapist 2924 Wilshire Blvd, Santa Monica, CA 90403 2018-01-29
1306354634 Sea Change Santa Monica, Lp Clinic/Center 1051 Princeton St, Santa Monica, CA 90403 2018-01-22
1114446226 Jafary Foot & Ankle Specialists LLC Podiatrist 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 2017-09-11
1023553906 Jory Faermark Speech-Language Pathologist 1158 26th Street, #417, Santa Monica, CA 90403 2016-12-30
1376095042 William Michael Thornton Chiropractor 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 2016-10-28
1801251723 Lisa Lavoie Naturopath 1-935 Euclid St, Santa Monica, CA 90403 2015-12-18
1376915793 Lisa Hanes Marriage & Family Therapist 1150 Yale Street, Suite 2, Santa Monica, CA 90403 2015-10-25
1386015386 Natalie Kazarian Marriage & Family Therapist 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 2015-10-15
Find all providers in zip 90403

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235392317 Homan Hanasab Dentist 833 22nd St, Santa Monica, CA 90403-2008 2008-07-08
1083823819 Allen E Inouye Dentist 1304 15th St Ste 408, Santa Monica, CA 90404-1813 2007-05-21
1811027006 Farinoush Gaminchi Dentist 2425 Colorado Ave, Suite 210, Santa Monica, CA 90404-3584 2007-03-06
1275628703 Lionell Neal Greenberg Dentist 2901 Wilshire Blvd., Suite Number 405, Santa Monica, CA 90403 2006-10-03
1932640463 Farinoush Gaminchi Dmd Inc Dentist 1304 15th St, Ste 315, Santa Monica, CA 90404-1809 2017-03-16
1699143891 Ricardo Raschkovsky, Dds, Ms, Inc Dentist 2901 Wilshire Blvd, Suite 405, Santa Monica, CA 90403-4901 2015-09-04
1326216375 Jennifer Robin Merritt Dentist 1450 10th St Ste 400, Santa Monica, CA 90401-2831 2008-02-12
1104016526 Stephen K Kwan Dentist 1304 15th Street, Suite 308, Santa Monica, CA 90404 2007-08-01
1700919677 Herbert Alan Binder Dentist 1245 16th St, Ste # 206, Santa Monica, CA 90404-1235 2007-03-13
1740367341 Mark I Handelsman Dentist 1245 16th St, #206, Santa Monica, CA 90404-1235 2006-11-01
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90403

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Dataset Information

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.

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