ENOMA ALADE, DDS, INC (NPI# 1285957712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285957712 |
| Entity Type | Organization |
| Organization Name | ENOMA ALADE, DDS, INC |
| Other Organization Name | CANYON CITY DENTAL CARE |
| Practice Address |
706 North Azusa Ave Azusa CA 91702-2507 |
| Practice Telephone | 6263347310 |
| Practice Fax Number | 6263347311 |
| Mailing Telephone | 6263347310 |
| Mailing Fax Number | 6263347311 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | ENOMA A ALADE (OWNER DENTIST) |
| Authorized Official Telephone | 6263347310 |
| Authorized Official Credential | DDS, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 47979 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G933866-01 | 05 |
| Other Name | Type Code |
|---|---|
| Canyon City Dental Care | Doing Business As Name - Organization |
| Street Address |
706 NORTH AZUSA AVE |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548472988 | Kiran S Trivedi | Dentist | 958 E Alosta Ave, Azusa, CA 91702-2709 | 2007-05-06 |
| 1205978418 | Jean Maroun Kattar | Dentist | 1141 E Alosta Ave, Azusa, CA 91702-2740 | 2007-02-13 |
| 1447319900 | Derek Aung Min | Dentist | 891 E Arrow Hwy, Suite B, Azusa, CA 91702 | 2006-12-08 |
| 1003975939 | Jeremias Mariano Pinacapal Miguel | Dentist | 525 N Azusa Avenue, Azusa, CA 91702 | 2006-12-06 |
| 1245318195 | Prakash Amratlal Katbamna | Dentist | 590 E Foothill Blvd, Azusa, CA 91702-2542 | 2006-11-01 |
| 1659467058 | Or Trigoso Dental Corporation | Dentist | 635 E Arrow Hwy, Azusa, CA 91702-5802 | 2006-10-04 |
| 1831207240 | Enoma Alade | Dentist | 706 North Azusa Avenue, Azusa, CA 91702 | 2006-08-26 |
| 1841657301 | Reyes&reyes D.d.s Dental Corp | Dentist | 635 E Arrow Hwy, Azusa, CA 91702-5802 | 2016-01-28 |
| 1881078913 | Sahawneh Dental Corporation | Dentist | 810 E Alosta Ave, Azusa, CA 91702-2706 | 2015-07-18 |
| 1700207883 | Reuben I. Saucedo Dds Inc. | Dentist | 105 E 10th St, Azusa, CA 91702-2445 | 2013-12-17 |
| Find all providers in AZUSA | ||||
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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.