CHILDREN'S DENTISTRY AND ORTHODONTICS OF FRESNO A DENTAL OFFICE OF STE (NPI# 1174157044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174157044 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTISTRY AND ORTHODONTICS OF FRESNO A DENTAL OFFICE OF STE |
| Practice Address |
1127 S St Fresno CA 93721-1408 |
| Mailing Address |
6245 N Fresno St Ste 103 Fresno CA 93710-5270 |
| Practice Telephone | 5598782685 |
| Mailing Telephone | 5595549999 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | STEVE OHARA (DDS/OWNER) |
| Authorized Official Telephone | 5595549999 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
1127 S ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497768444 | Robert Montgomery | Dentist | 1127 S St, Fresno, CA 93721-1408 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| 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 |
|---|---|---|---|---|
| 1407489610 | Fagin Dental Corporation | Dentist | 7055 N Fresno St Ste 203a, Fresno, CA 93720-2957 | 2020-02-16 |
| 1063942902 | Ryann Christensen | Dentist | 6623 N Riverside Dr Ste 101, Fresno, CA 93722-9325 | 2017-06-14 |
| 1992157572 | Tae Kwon | Dentist | 1161 E Shepherd Ave Apt 201, Fresno, CA 93720-2046 | 2016-07-07 |
| 1598143208 | Victoria Geren | Dentist | 323 E Bullard Ave Ste 104, Fresno, CA 93710-8620 | 2015-05-13 |
| 1871930545 | Brian Thurman | Dentist | 10221 N Page Ave, Fresno, CA 93730-4507 | 2013-06-04 |
| 1194015594 | Jeffrey Vance Stanley | Dentist | 6465 N Palm Ave Ste 105, Fresno, CA 93704-1085 | 2011-04-19 |
| 1396997979 | Havens Orthodontics, Inc. | Dentist | 7429 N 1st St Ste 101, Fresno, CA 93720-2852 | 2008-10-15 |
| 1194911974 | Charles L Quinlan Dds Inc | Dentist | 7055 N. Fresno Street, #203, Fresno, CA 93720 | 2007-09-14 |
| 1205042116 | Nicole Elise Nalchajian | Dentist | 7501 N Fresno St, Suite 105, Fresno, CA 93720-2458 | 2007-05-15 |
| 1861606147 | William J. Asbury | Dentist | 5479 N Fresno St Ste 102, Fresno, CA 93710-8328 | 2007-05-09 |
| Find all providers in FRESNO | ||||
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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.