DR. NICOLE MEDINA DAYRIT (NPI# 1114303344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114303344 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MEDINA DAYRIT |
| Credential | DMD |
| Practice Address |
201 S Harbor Blvd La Habra CA 90631 |
| Mailing Address |
11943 Bingham St Cerritos CA 90703-6917 |
| Practice Telephone | 5622646000 |
| Mailing Telephone | 5625526500 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
64958 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 S Harbor Blvd, La Habra, CA 90631 | 5622646000 |
| Street Address |
201 S HARBOR BLVD |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821283946 | Ayisha Lesha Winn | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631 | 2007-09-11 |
| 1992354047 | Kimberly Gonzalez | Dental Hygienist | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2019-09-10 |
| 1265942510 | Alberto Eduardo Veksler | Dental Hygienist | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2017-10-01 |
| 1497203541 | Vista Community Clinic | Clinic/Center | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2016-09-19 |
| 1568918647 | Brenda Godinez | Counselor | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2016-08-29 |
| 1548631443 | Jonathan Coutin | Dentist | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2015-10-18 |
| 1093100232 | Duy Duc Nguyen | Family Medicine | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2015-04-04 |
| 1457780686 | Ellen Ruth Kotkin | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2013-11-07 |
| 1356777361 | Adriana Jennifer Guerrero | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2013-09-23 |
| 1972814507 | Vanessa Rivas | Social Worker | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| 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 |
|---|---|---|---|---|
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1023679958 | Dean Kent Stewart | Dentist | 361 E Whittier Blvd Ste A, La Habra, CA 90631-3842 | 2019-06-21 |
| 1457717423 | Kyung Sook Yu, Dds. Inc | Dentist | 1370 S Beach Blvd Ste E, La Habra, CA 90631-1178 | 2016-01-06 |
| 1417336363 | Jessica T Sung | Dentist | 1701 W Imperial Hwy, Suite #b, La Habra, CA 90631-0603 | 2015-05-26 |
| 1699198622 | Michael C Mcclane Dds A Professional Corporation | Dentist | 2501 W La Habra Blvd Ste 7, La Habra, CA 90631-4354 | 2014-01-27 |
| 1467716894 | Ahmad Hassan Tokatli | Dentist | 1875 W La Habra Blvd, La Habra, CA 90631 | 2012-06-29 |
| 1407158223 | Noor Rahimi Dental Corporation | Dentist | 1701 W Imperial Hwy Ste B, La Habra, CA 90631-0604 | 2010-11-30 |
| 1447585575 | Alice Wan-ching Yang | Dentist | 501 S Idaho St Ste 190, La Habra, CA 90631-6047 | 2009-10-07 |
| 1043447980 | Ekta Amin | Dentist | 1030 W Imperial Hwy, La Habra, CA 90631-6901 | 2009-06-18 |
| 1912148297 | Kourosh Dianat | Dentist | 1250 W Whittier Blvd, La Habra, CA 90631-3611 | 2009-03-16 |
| Find all providers in LA HABRA | ||||
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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.