AMERICAN CANYON ORTHODONTICS (NPI# 1285057950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285057950 |
| Entity Type | Organization |
| Organization Name | AMERICAN CANYON ORTHODONTICS |
| Practice Address |
3419 Broadway St Ste-h1 American Canyon CA 94503-1261 |
| Practice Telephone | 7076519244 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Authorized Official Name | MRS. SARA MARKERT (OFFICE MANAGER) |
| Authorized Official Telephone | 7076519244 |
| Authorized Official Credential | RDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
60422 | CA | Dental Providers |
| Street Address |
3419 BROADWAY ST STE-H1 |
| City | AMERICAN CANYON |
| State | CA |
| Zip Code | 94503-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992892137 | Wine Country Open Mri, Inc. | Clinic/Center | 3419 Broadway St, American Canyon, CA 94503-1261 | 2006-10-09 |
| 1083019418 | Meridian Physical Therapy & Rehabilitation PC | Physical Therapist | 3419 Broadway St, Suite H-10, American Canyon, CA 94503-1261 | 2014-10-28 |
| 1598015257 | Jeffrey Nichelini | Dentist | 3419 Broadway St, Ste-h1, American Canyon, CA 94503-1261 | 2012-09-10 |
| 1104914878 | Active Rehab Physical Therapy, Inc. | Physical Therapist | 3419 Broadway St, Suite H-10, American Canyon, CA 94503-1261 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134540073 | Zhz-zhz Li Vasquz-z | Acupuncturist | 126 Tapestry Lane, American Canyon, CA 94503 | 2013-12-19 |
| 1649611781 | Barbara Perry | Social Worker | 101 W American Canyon Rd Ste 508-171, American Canyon, CA 94503 | 2013-07-16 |
| 1053694554 | Lucia J Mijares | Pharmacist | 127 Summerwood Drive, American Canyon, CA 94503 | 2011-09-21 |
| 1285771725 | Marichelle Montano Othman | Internal Medicine | 3431 Napa-vallejo Hwy, Suite A2, American Canyon, CA 94503 | 2007-02-01 |
| 1316091309 | Joanne P. Rivera | Dentist | 120 W. American Canyon Rd., Suite M-8, American Canyon, CA 94503 | 2007-01-23 |
| 1710075387 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 7011 Main St., American Canyon, CA 94503 | 2006-10-10 |
| 1225514870 | Faris Gheith | Behavior Technician | 120 Theresa Ave, American Canyon, CA 94503 | 2018-07-17 |
| 1922524693 | Melissa Lai | Physical Therapist | 3975 Old Redwood Hwy, Medical Office Building 5, Suite 152, Santa Rosa, CA 94503 | 2017-08-15 |
| 1598089013 | Stephen Gregory Rasmussen | Chiropractor | 100 West American Canyon Rd Ste - K6, American Canyon, CA 94503-1083 | 2010-03-26 |
| 1144693664 | Melissa Ann Dingler | Registered Nurse | 2 Melvin Rd, American Canyon, CA 94503-1102 | 2015-11-05 |
| Find all providers in zip 94503 | ||||
| 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 |
|---|---|---|---|---|
| 1598015257 | Jeffrey Nichelini | Dentist | 3419 Broadway St, Ste-h1, American Canyon, CA 94503-1261 | 2012-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | AMERICAN CANYON |
| Zip Code | 94503 |
Please comment or provide details below to improve the information on AMERICAN CANYON ORTHODONTICS.
| 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.