JACK BAYRAYMYAN DENTAL GROUP INC. (NPI# 1891394060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891394060 |
| Entity Type | Organization |
| Organization Name | JACK BAYRAYMYAN DENTAL GROUP INC. |
| Practice Address |
600 S Alvarado St Ste 200-201 Los Angeles CA 90057-3314 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 7195761850 |
| Mailing Telephone | 7195761850 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | SHAUN URBANOZO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7193232362 |
| Is Organization Subpart | Y |
| Parent Organization Name | JACK BAYRAMYAN DENTAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Teen Dental Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| 1063011237 | Jack Bayraymyan Dental Group Inc. | Dentist | 4221 E Cesar E Chavez Ave, Los Angeles, CA 90063-3417 | 2020-10-20 |
| 1538768791 | Jack Bayraymyan Dental Group Inc. | Dentist | 14422 Victory Blvd, Van Nuys, CA 91401-1439 | 2020-10-20 |
| Street Address |
600 S ALVARADO ST STE 200-201 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| 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 |
|---|---|---|---|---|
| 1407487622 | Lenise N. Yarber D.d.s, Professional Dental Corporation | Dentist | 5035 W Slauson Ave Ste G, Los Angeles, CA 90056-1647 | 2020-01-27 |
| 1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
| 1114489820 | Dds Dental Corporation | Dentist | 140 S Robertson Blvd, Los Angeles, CA 90048-3208 | 2019-04-02 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1710466248 | Sue Vin Kim | Dentist | 1308 Orchard Ave, Los Angeles, CA 90006-4712 | 2018-08-06 |
| 1013401082 | Jonathan Shouhed Dds Inc | Dentist | 2320 S Robertson Blvd Ste 101, Los Angeles, CA 90034-2053 | 2018-06-21 |
| 1114419611 | Jonathan Beroukhim | Dentist | 1666 Thayer Ave Apt 202, Los Angeles, CA 90024-6056 | 2018-05-31 |
| 1922450121 | Chad Arthur, Dds, Ms, Inc | Dentist | 8540 S Sepulveda Blvd Ste 1115, Los Angeles, CA 90045-3828 | 2016-07-12 |
| 1669821633 | Peter B Lee | Dentist | 1111 S Grand Ave Apt 706, Los Angeles, CA 90015-2169 | 2016-06-09 |
| 1962878199 | Fields and Rojas Dental Partnership, A California General Partnership | Dentist | 2244 Fair Park Ave, Los Angeles, CA 90041-1910 | 2015-08-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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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.