PAUL K. TAKEMOTO, D.D.S., PROFESSIONAL CORPORATION (NPI# 1104193473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104193473 |
| Entity Type | Organization |
| Organization Name | PAUL K. TAKEMOTO, D.D.S., PROFESSIONAL CORPORATION |
| Other Organization Name | MOORPARK SMILES DENTAL GROUP |
| Practice Address |
144 W Los Angeles Ave Moorpark CA 93021-1898 |
| Practice Telephone | 8055531980 |
| Practice Fax Number | 8055531981 |
| Mailing Telephone | 8055531980 |
| Mailing Fax Number | 8055531981 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | DR. PAUL K. TAKEMOTO (PRESIDENT) |
| Authorized Official Telephone | 8055531980 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 35455 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Moorpark Smiles Dental Group | Doing Business As Name - Organization |
| Street Address |
144 W LOS ANGELES AVE |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245319581 | Carrie Burgert | Specialist | 144 W Los Angeles Ave, Ste 110, Moorpark, CA 93021-1898 | 2006-11-06 |
| 1376936492 | Ryan Haddock | Physical Therapist | 144 W Los Angeles Ave, #110, Moorpark, CA 93021-1898 | 2015-03-13 |
| 1407165335 | Thorne Dent Corporation | Dentist | 144 W Los Angeles Ave, Ste. 114, Moorpark, CA 93021-1898 | 2010-09-27 |
| 1386899276 | John Michael Thorne | Dentist | 144 W Los Angeles Ave, Suite 114, Moorpark, CA 93021-1898 | 2008-11-19 |
| 1861664377 | Crystal Rene Thomas | Physical Therapist | 144 W Los Angeles Ave, Ste 110, Moorpark, CA 93021-1898 | 2008-03-25 |
| 1952444812 | Xcelerate Physical Therapy Inc | Physical Therapist | 144 W Los Angeles Ave, Ste 110, Moorpark, CA 93021-1898 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1477606945 | Kimberly A Tedder | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2007-01-19 |
| Find all providers in zip 93021 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890937 | Zachary L Potts Dds Incorporated | Dentist | 4217 Tierra Rejada Rd, Moorpark, CA 93021-3772 | 2015-05-12 |
| 1982094017 | Paul Hojin Jang | Dentist | 14711 Princeton Ave Ste 12, Moorpark, CA 93021-1469 | 2015-01-27 |
| 1134521024 | Sahar Sepidehdam | Dentist | 100 W. High St. #617, Moorpark, CA 93020-1820 | 2014-09-22 |
| 1013345834 | Ely Hasany Dds,inc. | Dentist | 217 W Los Angeles Ave, Moorpark, CA 93021-1867 | 2013-10-15 |
| 1295965630 | Tina Thuy Tran Nguyen | Dentist | 6786 Westwood St, Moorpark, CA 93021-1342 | 2009-07-20 |
| 1174737357 | Zachary Leroy Potts | Dentist | 4217 Tierra Rejada Rd., Moorpark, CA 93021-3772 | 2007-05-09 |
| 1376659425 | Brian R Forcey Dds Apc | Dentist | 14711 Princeton Ave, #2, Moorpark, CA 93021-1457 | 2006-08-22 |
| 1760596878 | Douglas Topper | Dentist | 530 Los Angeles Ave, #213, Moorpark, CA 93021-2089 | 2006-08-18 |
| 1750394417 | Amir Sadri | Dentist | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2006-08-14 |
| 1598799199 | Manohara Welikala | Dentist | 55 W Los Angeles Ave, Moorpark, CA 93021-1820 | 2006-07-10 |
| Find all providers in MOORPARK | ||||
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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.