DR. KIMBERLY ANN EBNER (NPI# 1194119867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194119867 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANN EBNER |
| Credential | DDS |
| Practice Address |
1060 E. Green St. Suite 105 Pasadena CA 91106 |
| Practice Telephone | 6267969246 |
| Practice Fax Number | 6265648395 |
| Mailing Telephone | 6267969246 |
| Mailing Fax Number | 6265648395 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D37328 | CA | Dental Providers |
| Street Address |
1060 E. GREEN ST. SUITE 105 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| 1881035285 | Monica W Yu | Pharmacist | 603 S Lake Ave, Pasadena, CA 91106 | 2013-07-13 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1972941292 | Tony Tian Lian Li | Dentist | 163 N Marengo Ave, #401, Pasadena, CA 91101-4509 | 2013-06-09 |
| 1669619763 | Simon Kyuseok Choyee | Dentist | 170 W Dayton St # 3015, Pasadena, CA 91105-4517 | 2009-01-11 |
| 1487736591 | William Frederick Stephens | Dentist | 301 S Fair Oaks Ave Ste 107, Pasadena, CA 91105-2536 | 2006-10-19 |
| 1801872395 | Kimberly A Ebner Dds Inc | Dentist | 1060 E Green Street, Suite 105, Pasadena, CA 91106 | 2005-12-16 |
| 1174145726 | Noor Oms Pllc | Dentist | 6429 Fairmont Pkwy Ste 102, Pasadena, TX 77505-4357 | 2020-05-16 |
| 1174797708 | W. Frederick Stephens,dds,inc | Dentist | 301 S Fair Oaks Ave, Suite #107, Pasadena, CA 91105-2561 | 2008-04-15 |
| 1114146123 | Warner Evans Heathman | Dentist | 4010 Vista Rd, Suite B, Pasadena, TX 77504-2183 | 2007-04-25 |
| 1285779785 | Karen Mygil | Dentist | 8025 Ritchie Hwy, Pasadena, MD 21122-1031 | 2007-02-21 |
| 1811056294 | Wes Lee Hill | Dentist | 301 S Fair Oaks Ave, Suite 107, Pasadena, CA 91105-2561 | 2006-12-08 |
| Find all providers in PASADENA | ||||
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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.