DR. TODD TAKEO MATSUMOTO (NPI# 1326003617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326003617 |
| Entity Type | Individual |
| Full Name | DR. TODD TAKEO MATSUMOTO |
| Credential | D.D.S., M.S. |
| Practice Address |
2635 Gateway Rd Ste 101 Carlsbad CA 92009-1753 |
| Mailing Address |
12481 S La Coste Dr Tustin CA 92782-0943 |
| Practice Telephone | 7604444094 |
| Mailing Telephone | 7147838308 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
54489 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00007805 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 854 Magnolia Ave, Suite #a, Corona, CA 928793109 | 9517367846 |
| Street Address |
2635 GATEWAY RD STE 101 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92009-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568719011 | Allyson Jisong Park | Dentist | 2635 Gateway Rd Ste 101, Carlsbad, CA 92009-1753 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602798 | Aberdeen Physical Therapy Inc | Physical Therapist | 3218 Clalle Vallarta, Carlsbad, CA 92009 | 2020-09-08 |
| 1952949851 | Sandrelyn Chua | Registered Nurse | 3421 Calle Del Sur, Carlsbad, CA 92009 | 2019-12-11 |
| 1467938647 | Outshine Speech Therapy | Speech-Language Pathologist | 2647 Gateway Road Suit # 105, Carlsbad, CA 92009 | 2018-07-11 |
| 1154855906 | Tamara Chatfield | Marriage & Family Therapist | 2647 Gateway Rd., Ste. 105 #521, Carlsbad, CA 92009 | 2017-04-19 |
| 1548792039 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 830 N. Mariposa Ave, Los Angeles, CA 92009 | 2017-04-03 |
| 1649722380 | Dom Dop Van Nguyen | Pharmacist | 7440 Rancho Santa Fe Rd, Carlsbad, CA 92009 | 2016-10-28 |
| 1932575354 | Shabnam Moeini-ferdosi | Speech-Language Pathologist | 2684 Bressi Ranch Way, Carlsbad, CA 92009 | 2015-08-19 |
| 1073900858 | Thanh Luu and Tina Saw Dental Corp | Dentist | 7720 Rancho Santa Fe Road, Suite E, Carlsbad, CA 92009 | 2015-04-20 |
| 1922445873 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 832 N. Mariposa Ave, Los Angeles, CA 92009 | 2013-06-02 |
| 1982945457 | Carin Beth Hauptman | Speech-Language Pathologist | 2148 Avenida Toronja, Carlsbad, CA 92009 | 2013-03-08 |
| Find all providers in zip 92009 | ||||
| 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 |
|---|---|---|---|---|
| 1346481496 | Daniel Robert Adams | Dentist | 6965 El Camino Real Ste 201, Carlsbad, CA 92009-4102 | 2009-03-19 |
| 1871780395 | Cameron Hulse | Dentist | 2020 Cassia Rd., Suite 102, Carlsbad, CA 92009 | 2007-09-28 |
| 1578776548 | Roy David Atkin | Dentist | 3565 Trieste Dr, Carlsbad, CA 92010-2840 | 2007-05-07 |
| 1235260381 | Jay Roger Morgner | Dentist | 3144 El Camino Real Ste 205, Carlsbad, CA 92008-2194 | 2007-03-08 |
| 1407990922 | Leah Marie Walker | Dentist | 7750 El Camino Real Ste D, Carlsbad, CA 92009-8517 | 2007-02-16 |
| 1164512653 | Brent Hurst | Dentist | 1207 Carlsbad Village Dr Ste P, Carlsbad, CA 92008-1958 | 2006-10-13 |
| 1124128871 | Parmis S. Sionit | Dentist | 1291 Carlsbad Village Dr, Carlsbad, CA 92008-1950 | 2006-09-23 |
| 1154304038 | James F Lunardon Dds Msd Pa | Dentist | 701 N Canyon St, Carlsbad, NM 88220-5817 | 2005-11-23 |
| 1700362498 | Farnsworth Orthodontics, Pllc | Dentist | 701 N Canyon St, Carlsbad, NM 88220-8822 | 2018-07-16 |
| 1053798157 | Hydo, Angelopoulos & Miller Dental Group | Dentist | 6010 Hidden Valley Rd, Suite #100, Carlsbad, CA 92011-4213 | 2015-04-28 |
| Find all providers in CARLSBAD | ||||
Please comment or provide details below to improve the information on DR. TODD TAKEO MATSUMOTO.
| 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.