DANVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI# 1083037501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083037501 |
| Entity Type | Organization |
| Organization Name | DANVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Practice Address |
4145 Blackhawk Plaza Cir Ste 203 Danville CA 94506-4699 |
| Practice Telephone | 9258377745 |
| Mailing Telephone | 9258377745 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | DR. AZADEH JAFARNIA (DOCTOR/OWNER) |
| Authorized Official Telephone | 9258377745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
53034 | CA | Dental Providers |
| Street Address |
4145 BLACKHAWK PLAZA CIR STE 203 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94506-4699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680659 | Diane Lindsey Baggett | Registered Nurse | # 155 9000 Crow Canyon, Danville, CA 94506 | 2020-05-12 |
| 1205334364 | Sarika Shah | Dietitian, Registered | 3860 Blackhawk Road, Suite 140, Danville, CA 94506 | 2018-01-24 |
| 1679843783 | John W. Raniseski | Psychologist | 204 Stetson Drive, Danville, CA 94506 | 2012-01-05 |
| 1871728279 | Dana Libby Kapp | Dentist | 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 | 2009-05-28 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1922105469 | Selin Khayatan | Optometrist | 2255 Genoa Street, Danville, CA 94506 | 2006-09-19 |
| 1497784169 | Donald I Galen | Obstetrics & Gynecology | 13 Homestead Court, Danville, CA 94506 | 2006-07-03 |
| 1144259870 | Blackhawk Surgery Center, A Medical Corp. | Clinic/Center | 3601 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-07-03 |
| 1629038351 | William Kemerer | Anesthesiology | 3600 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-03-25 |
| 1730730789 | Karen Marcum | Prosthetic/Orthotic Supplier | 4165 Blackhawk Plaza Circle, Private Suite 250, Danville, CA 94506 | 2019-09-21 |
| Find all providers in zip 94506 | ||||
| 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 |
|---|---|---|---|---|
| 1619102696 | Bryan Randall Spurrier | Dentist | 808 Piney Forest Rd, Danville, VA 24540-2812 | 2009-05-20 |
| 1568606010 | Michael R Ricupito | Dentist | 3880 Blackhawk Rd, Danville, CA 94506-4676 | 2009-04-28 |
| 1851416648 | Robert Charles Frantz | Dentist | 911 San Ramon Valley Blvd Ste 200, Danville, CA 94526-4037 | 2007-03-20 |
| 1558490573 | Robert W. Webster | Dentist | 359 S 4th St Ste B, Danville, KY 40422-2078 | 2007-03-05 |
| 1174670178 | Philip Nishino | Dentist | 104 Sunhaven Rd, Danville, CA 94506-1901 | 2007-01-04 |
| 1407874779 | Diana T. Rose | Dentist | 4125 Blackhawk Plaza Cir Ste 255, Danville, CA 94506-4902 | 2006-07-17 |
| 1427201821 | Webster Orthodontics | Dentist | 359 S 4th St Ste B, Danville, KY 40422-2078 | 2008-10-29 |
| 1558559047 | William T. Webster | Dentist | 359 S 4th St Ste B, Danville, KY 40422-2078 | 2007-10-09 |
| 1700962354 | Michael G. Whisler | Dentist | 300 El Cerro Blvd, Suite A, Danville, CA 94526-1744 | 2006-10-27 |
| 1013092295 | Robert M. Cuenin | Dentist | 300 El Cerro Blvd, Suite A, Danville, CA 94526-1744 | 2006-10-26 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on DANVILLE PEDIATRIC DENTISTRY AND ORTHODONTICS.
| 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.