MIRIAM VITA VAN ALLEN (NPI# 1285816793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285816793 |
| Entity Type | Individual |
| Full Name | MIRIAM VITA VAN ALLEN |
| Credential | D.D.S. |
| Practice Address |
5920 Del Amo Blvd Lakewood CA 90713-1949 |
| Practice Telephone | 5624962000 |
| Practice Fax Number | 5624972064 |
| Mailing Telephone | 3105009782 |
| Mailing Fax Number | 3102039915 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
53958 | CA | Dental Providers |
| Street Address |
5920 DEL AMO BLVD |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811059496 | Charles D Brodsky | Dentist | 5920 Del Amo Blvd, Lakewood, CA 90713-1949 | 2006-12-14 |
| 1346572948 | Joel F. Brodsky Dds Inc | Dentist | 5920 Del Amo Blvd, Lakewood, CA 90713-1949 | 2010-02-06 |
| 1639231210 | Joel F Brodsky | Dentist | 5920 Del Amo Blvd, Lakewood, CA 90713-1949 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470026 | Blue Horizon Homes, LLC | Residential Treatment Facility, Physical Disabilities | 4340 Conquista Ave., Lakewood, CA 90713 | 2016-11-28 |
| 1083033104 | Support for Mothers | Lactation Consultant, Non-RN | 5313 Briercrest Ave, Lakewood, CA 90713 | 2014-04-16 |
| 1477972990 | Denise Marie Estrada | Acupuncturist | 4136 Woodruff Avenue, Lakewood, CA 90713 | 2014-04-11 |
| 1013176130 | Larry J Gottlieb Inc A Professional Corporation | Optometrist | 6418 E Del Amo Blvd, Lakewood, CA 90713 | 2008-06-04 |
| 1750405718 | Dean Luong & Donald Luong Dds, Inc | Dentist | 4180 Woodruff Ave, Lakewood, CA 90713 | 2007-03-16 |
| 1477629939 | Molthen Chiropractic | Chiropractor | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2006-11-28 |
| 1093809709 | Kelli Lynn Molthen | Chiropractor | 5834 Adenmoor Ave., Lakewood, CA 90713 | 2006-10-03 |
| 1255979803 | Kimie Anne Acacio | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1164060711 | Stephanie Lee | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1144866161 | Anna Gevorgyan | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-25 |
| Find all providers in zip 90713 | ||||
| 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 |
|---|---|---|---|---|
| 1659783470 | Lakewood Orthodontics | Dentist | 255 Union Blvd Ste 430, Lakewood, CO 80228-1834 | 2014-05-28 |
| 1316366909 | Caspian Orthodontics | Dentist | 6003 100th St Sw, Lakewood, WA 98499-2733 | 2014-04-10 |
| 1619303617 | Steven Charles Clawson | Dentist | 5422 74th St W Ste D, Lakewood, WA 98499-7900 | 2013-09-23 |
| 1902170236 | Kulkarni Orthodontics | Dentist | 2535 S Lewis Way Ste 106, Lakewood, CO 80227-6558 | 2012-03-05 |
| 1255626354 | Lina Kulkarni | Dentist | 2249 S Miller Ct, Lakewood, CO 80227-6548 | 2011-06-16 |
| 1841528353 | Belmar Orthodontics, P.C. | Dentist | 311 S Teller St, Lakewood, CO 80226-7387 | 2009-11-20 |
| 1578898326 | Mark Kurchak | Dentist | 2327 S Gray St, Lakewood, CO 80227-3959 | 2009-10-13 |
| 1083845929 | Ashley Elizabeth Lynn | Dentist | 5392 S Wadsworth Blvd Unit 103, Lakewood, CO 80123-1271 | 2009-07-27 |
| 1033346275 | Brian James Diemer | Dentist | 7355 W Colfax Ave Unit 101, Lakewood, CO 80214-5407 | 2009-06-15 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
| Find all providers in LAKEWOOD | ||||
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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.