KOUICHI ITOH DDS INC.


Address: 3151 Airway Ave, Ste. F-103, Costa Mesa, CA 92626-4607
Phone: 7145497030

KOUICHI ITOH DDS INC. (NPI# 1225442395) 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) 1225442395
Entity Type Organization
Organization Name KOUICHI ITOH DDS INC.
Other Organization Name THE LOFT DENTAL STUDIO
Practice Address 3151 Airway Ave
Ste. F-103
Costa Mesa
CA 92626-4607
Practice Telephone 7145497030
Practice Fax Number 7144644538
Mailing Telephone 7145497030
Mailing Fax Number 7144644538
Enumeration Date 2014-06-17
Last Update Date 2014-06-17
Authorized Official Name DR. KOUICHI CLIFF ITOH (DENTIST)
Authorized Official Telephone 7145497030
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 39420 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
The Loft Dental Studio Doing Business As Name - Organization

Office Location

Street Address 3151 AIRWAY AVE
STE. F-103
City COSTA MESA
State CA
Zip Code 92626-4607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609836469 Eric A Prouty Dentist 3151 Airway Ave, Suite M2, Costa Mesa, CA 92626-4607 2006-03-24
1609342567 Chris Maa Acupuncturist 3151 Airway Ave, Costa Mesa, CA 92626-4607 2018-10-18
1518319946 Alisa Gardner Social Worker 3151 Airway Ave, T2, Costa Mesa, CA 92626-4607 2016-07-09
1821449141 Nicole Krakora Naturopath 3151 Airway Ave, Suite U-3, Costa Mesa, CA 92626-4607 2016-06-28
1841646809 Charles Fagenholz Chiropractor 3151 Airway Ave, U-3, Costa Mesa, CA 92626-4607 2016-05-09
1275997058 Scbh Laboratory, LLC Clinical Medical Laboratory 3151 Airway Ave, Suite N-1, Costa Mesa, CA 92626-4607 2016-04-07
1215392816 Hpr Laboratories Clinical Medical Laboratory 3151 Airway Ave, Unit G1, Costa Mesa, CA 92626-4607 2015-12-23
1134592249 Robin Giesen Marriage & Family Therapist 3151 Airway Ave, Ste. T-3, Costa Mesa, CA 92626-4607 2015-11-11
1194194860 Samuel T. Enterprise Counselor 3151 Airway Ave, Suite D2, Costa Mesa, CA 92626-4607 2015-09-23
1740664614 Clint Johnson Counselor 3151 Airway Ave, D-1, Costa Mesa, CA 92626-4607 2015-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1396383022 The Open Table Community/Behavioral Health 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 2019-12-12
1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790273829 Clint Walker Dental Corporation Dentist 270 E 17th St Ste 15, Costa Mesa, CA 92627-3845 2018-04-24
1003298894 Michael Ayzin Dds Dental Corp Dentist 1202 Bristol St Ste 120, Costa Mesa, CA 92626-8606 2015-06-29
1194103671 Mina Girgis Dentist 488 E 17th St Ste A101, Costa Mesa, CA 92627-3277 2015-05-15
1063819928 William Pomeroy Dentist 181 E 18th St Ste D, Costa Mesa, CA 92627-3069 2014-11-20
1336544048 Tiffany Thuy Trinh Vo Dentist 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626-2562 2014-10-24
1629408489 Lance Hamilton Dentist 234 E 17th St Ste 107, Costa Mesa, CA 92627-3854 2013-11-14
1578818134 Derek Havas Dentist 3400 Ave of The Arts, E408, Costa Mesa, CA 92626-1927 2012-07-19
1760783369 Lance Alder Dentist 2653 Orange Ave Apt F, Costa Mesa, CA 92627-4674 2010-11-12
1942536628 Alvaro Adrian Aguirre Dentist 1170 Baker St, Suite #e, Costa Mesa, CA 92626-4100 2009-10-30
1962644229 Richard Yale Boerner Dentist 270 Bristol St Ste 106, Costa Mesa, CA 92626-5936 2009-04-01
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Competitor

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City COSTA MESA
Zip Code 92626

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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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