JACK BAYRAYMYAN DENTAL GROUP INC.


Address: 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131
Phone: 7195761850

JACK BAYRAYMYAN DENTAL GROUP INC. (NPI# 1104425370) 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) 1104425370
Entity Type Organization
Organization Name JACK BAYRAYMYAN DENTAL GROUP INC.
Practice Address 2621 Zoe Ave Ste A
Huntington Park
CA 90255-4131
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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Teen Dental Place Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669071825 Jack Bayraymyan Dental Group Inc. Dentist 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 2020-10-20
1891394060 Jack Bayraymyan Dental Group Inc. Dentist 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 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

Office Location

Street Address 2621 ZOE AVE STE A
City HUNTINGTON PARK
State CA
Zip Code 90255-4131

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922659424 Maria Hurtado Behavior Technician California St & Pacific Blvd, Walnut Park, CA 90255 2019-09-25
1356803555 Cdf Centro De Desarrollo Familiar Social Worker 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 2019-04-05
1710457908 Toure Marshawn Curry Rehabilitation Practitioner 2677 Zoe Ave #304, Huntington Park, CA 90255 2018-11-29
1508366584 Kalie Marie Baker Optometrist 2614 Gage Ave, Huntington Park, CA 90255 2018-02-16
1134633027 Alicia Rizkalla Case Manager/Care Coordinator Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 2017-11-30
1205353760 All Care One Community Health Center Chiropractor 7300 Santa Fe Avenue, Huntington Park, CA 90255 2017-08-25
1447613559 Peter Vue Respiratory Therapist, Certified 6208 Seville Ave., Huntington Park, CA 90255 2016-04-05
1558720029 Dr. Edmond Janfaza Dds, Inc. Dentist 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 2016-02-12
1649650979 Samuel Zaki Dds Inc Dentist 7221 Pacific Blvd, Huntington Park, CA 90255 2015-06-02
1376945808 Karla Zuniga Case Manager/Care Coordinator 3638 E 61st Street, Huntington Park, CA 90255 2014-09-16
Find all providers in zip 90255

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932505534 Erin S Ma Dentist 7925 Seville Ave, Huntington Park, CA 90255-7000 2014-11-07
1467660951 Lili Mirtorabi Dentist 7722 Seville Ave, Huntington Park, CA 90255-6316 2007-05-18
1043368517 Marc Pana Dentist 2626 E Gage Ave, Huntington Park, CA 90255-4122 2007-01-08
1538535265 Teresa Tran Dentist 7925 Seville Ave, Huntington Park, CA 90255-7000 2015-08-17
1407270283 Christopher H Chen Dentist 2630 E Gage Ave, Huntington Park, CA 90255-4122 2014-02-13
1295047975 Luis Pedro Novielli Dentist 2671 Zoe Ave, Huntington Park, CA 90255-4144 2010-07-09
1902059728 Jennifer Wu Hong Dentist 7722 Seville Ave, Huntington Park, CA 90255-6316 2008-10-23
1356593347 Joanne Sung Kim Dentist 7601 Seville Ave, Huntington Park, CA 90255-6029 2008-10-21
1912104894 Lili Mirtorabi D.d.s., A Professional Corporation Dentist 7722 Seville Ave, Huntington Park, CA 90255-6316 2007-07-02
1225246010 Care Dental Group of Robert A Bobic Dentist 6438 Rita Ave, Huntington Park, CA 90255-4126 2007-05-18
Find all providers in HUNTINGTON PARK

Competitor

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City HUNTINGTON PARK
Zip Code 90255

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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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