DR. WILLIAM JOHN WORDEN (NPI# 1235227836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235227836 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOHN WORDEN |
| Credential | D.D.S. |
| Practice Address |
5175 E Pacific Coast Hwy Suite#204 Long Beach CA 90804-3317 |
| Practice Telephone | 5624217686 |
| Practice Fax Number | 5625970639 |
| Mailing Telephone | 5624217686 |
| Mailing Fax Number | 5625970639 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D49026 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053593830 | William Lamont Worden Jr. | Anesthesiology | 3333 Burnet Ave, Anesthesia, Ml 2001, Cincinnati, OH 45229-3026 | 2007-12-03 |
| 1356326805 | William Lamont Worden | Emergency Medicine | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2005-12-07 |
| Street Address |
5175 E PACIFIC COAST HWY SUITE#204 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378006 | Julianna M Lyell | Psychologist | 5175 E Pacific Coast Hwy, Suite 304, Long Beach, CA 90804-3317 | 2006-06-01 |
| 1770020083 | Andrijana Jevtic Pitruzzello | Chiropractor | 5175 E Pacific Coast Hwy, Suite 106, Long Beach, CA 90804-3317 | 2017-01-24 |
| 1578917175 | Nimesh Jitendra Pathak Md Inc | Ophthalmology | 5175 E Pacific Coast Hwy, 102, Long Beach, CA 90804-3317 | 2016-04-20 |
| 1922480052 | Goel & Cohen Dental Corporation | Dentist | 5175 E Pacific Coast Hwy, 302, Long Beach, CA 90804-3317 | 2015-06-25 |
| 1780958751 | William Albert Grella Jr. | Dentist | 5175 E Pacific Coast Hwy, 201, Long Beach, CA 90804-3317 | 2012-03-08 |
| 1396904975 | Nimesh J Pathak | Ophthalmology | 5175 E Pacific Coast Hwy, Suite 102, Long Beach, CA 90804-3317 | 2008-06-09 |
| 1568663946 | Mitra Ahrar | Dentist | 5175 E Pacific Coast Hwy, Suite 405, Long Beach, CA 90804-3317 | 2007-05-31 |
| 1942332556 | John Aivaz | Dentist | 5175 E Pacific Coast Hwy, 405, Long Beach, CA 90804-3317 | 2007-03-09 |
| 1104981166 | Lynn A. Gardiner | Marriage & Family Therapist | 5175 E Pacific Coast Hwy, Suite 304, Long Beach, CA 90804-3317 | 2006-12-27 |
| 1487758561 | Elizabeth Susana Pollak | Dentist | 5175 E Pacific Coast Hwy, #203, Long Beach, CA 90804-3317 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528261534 | Medhat N. Nashed, Dds, Ms Inc | Dentist | 4200 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804-2107 | 2007-06-07 |
| 1871578377 | Glen Shanock | Dentist | 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 | 2005-12-07 |
| 1730628884 | Glen Shanock's Dentistry, PC | Dentist | 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 | 2017-02-21 |
| 1205082708 | Gabriela Cervantes | Dentist | 3320 N Los Coyotes Diagonal, Long Beach, CA 90808-3918 | 2008-08-15 |
| 1659401842 | Santos Cortez | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2007-03-06 |
| 1952431132 | Estela Sanchez | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2007-03-06 |
| 1609901305 | Afsaneh Matin | Dentist | 455 E Columbia St, Long Beach, CA 90806-1620 | 2007-02-22 |
| 1316040397 | Erica Fran Sutter | Dentist | 202 W Park Ave, Long Beach, NY 11561-3212 | 2006-09-06 |
| 1922116730 | Santos Cortez, Dds, Inc. | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2006-08-29 |
| 1437266376 | Ana M Planells | Dentist | 3320 N Los Coyotes Diagonal, Suite 200, Long Beach, CA 90808-3918 | 2006-08-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on DR. WILLIAM JOHN WORDEN.
| 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.