RODGERS PROFESSIONAL DENTAL CORPORATION (NPI# 1053404244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053404244 |
| Entity Type | Organization |
| Organization Name | RODGERS PROFESSIONAL DENTAL CORPORATION |
| Other Organization Name | ANAHEIM HILLS DENTAL GROUP |
| Practice Address |
5731 E Santa Ana Canyon Rd Ste. A Anaheim CA 92807-3234 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 7149982956 |
| Practice Fax Number | 7149987331 |
| Mailing Telephone | 7145083600 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES F RODGERS (OWNER DDS) |
| Authorized Official Telephone | 7149982956 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
35324 | CA | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
43860 | CA | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22629 | CA | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
46427 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| ANAHEIM HILLS DENTAL GROUP | Doing Business As Name - Organization |
| Street Address |
5731 E SANTA ANA CANYON RD STE. A |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508976572 | Jesus B Ramirez | Dentist | 5731 E Santa Ana Canyon Rd, Ste. A, Anaheim, CA 92807-3234 | 2006-08-30 |
| 1770951089 | Steven Wu | Dentist | 5731 E Santa Ana Canyon Rd, Ste A, Anaheim, CA 92807-3234 | 2015-09-03 |
| 1497157507 | Clint C Walker | Dentist | 5731 E Santa Ana Canyon Rd, Suite A, Anaheim, CA 92807-3234 | 2014-09-19 |
| 1396855342 | Alexis Hoang | Dentist | 5731 E Santa Ana Canyon Rd, Ste. A, Anaheim, CA 92807-3234 | 2006-08-30 |
| 1376653329 | Christine Vian | Dentist | 5731 E Santa Ana Canyon Rd, Ste. A, Anaheim, CA 92807-3234 | 2006-08-30 |
| 1255441200 | Reneelyn J Salud | Dentist | 5731 E Santa Ana Canyon Rd, Ste. A, Anaheim, CA 92807-3234 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| 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 |
|---|---|---|---|---|
| 1558984138 | Chi Kieu Nguyen | Dentist | 1000 S Anaheim Blvd Ste 103, Anaheim, CA 92805-5802 | 2020-05-18 |
| 1609433978 | Victor R. Camones Dds Inc | Dentist | 2785 W Ball Rd, Anaheim, CA 92804-5029 | 2019-05-22 |
| 1063974244 | Ardalan Dental Group Corp | Dentist | 250 W Lincoln Ave, Anaheim, CA 92805-2903 | 2019-04-05 |
| 1962962811 | Kwon Dental Practice Anaheim, Inc | Dentist | 10500 Magnolia Ave Ste A1, Anaheim, CA 92804-8805 | 2019-03-25 |
| 1639657596 | Monique Sison | Dentist | 2500 W Lincoln Ave Ste 2, Anaheim, CA 92801-6421 | 2018-08-02 |
| 1639657877 | Christina Chi | Dentist | 5731 E Santa Ana Canyon Rd Ste A, Anaheim, CA 92807-3234 | 2018-07-31 |
| 1558867473 | Ellie Parajon-aflatoon | Dentist | 10500 Magnolia Ave Ste A1a1, Anaheim, CA 92804-5817 | 2018-03-30 |
| 1144736125 | Jun Cheong Dds, Incorporation | Dentist | 1007 W La Palma Ave Ste 3, Anaheim, CA 92801-3620 | 2017-12-28 |
| 1477088581 | Miguel Aramburu | Dentist | 2601 W Ball Rd Ste 101, Anaheim, CA 92804-8016 | 2017-04-26 |
| 1568819613 | V.mai Dds Inc | Dentist | 922 S Euclid St, Anaheim, CA 92802-1523 | 2016-05-18 |
| Find all providers in ANAHEIM | ||||
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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.