HYDO, ANGELOPOULOS & MILLER DENTAL GROUP (NPI# 1336429612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336429612 |
| Entity Type | Organization |
| Organization Name | HYDO, ANGELOPOULOS & MILLER DENTAL GROUP |
| Other Organization Name | GREAT SMILES PEDIATRIC DENTISTRY & ORTHODONTICS |
| Practice Address |
1200 Garden View Rd Suite #102 Encinitas CA 92024-2477 |
| Practice Telephone | 7609445115 |
| Practice Fax Number | 7609445226 |
| Mailing Telephone | 7609445115 |
| Mailing Fax Number | 7609445226 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | DR. CRYSTAL L ANGELOPOULOS (PARTNER) |
| Authorized Official Telephone | 7609445115 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Great Smiles Pediatric Dentistry & Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053798157 | Hydo, Angelopoulos & Miller Dental Group | Dentist | 6010 Hidden Valley Rd, Suite #100, Carlsbad, CA 92011-4213 | 2015-04-28 |
| 1457683880 | Hydo, Angelopoulos & Miller Dental Group | Dentist | 530 Lomas Santa Fe Dr, Suite H, Solana Beach, CA 92075-1349 | 2010-02-10 |
| Street Address |
1200 GARDEN VIEW RD SUITE #102 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477575595 | Dori Sue Winchell | Psychologist | 1200 Garden View Rd, Ste 106, Encinitas, CA 92024-2477 | 2006-07-25 |
| 1184268369 | Sara Venezia | Pharmacist | 1200 Garden View Rd, Encinitas, CA 92024-2477 | 2019-10-31 |
| 1326421348 | Michelle Kim | Pharmacist | 1200 Garden View Rd, Suite 200, Encinitas, CA 92024-2477 | 2015-07-08 |
| 1518300532 | Regents of The University of California | Pharmacy | 1200 Garden View Rd, Ste 103, Encinitas, CA 92024-2477 | 2013-04-09 |
| 1710233911 | Eileen Mary Ackerman | Nutritionist | 1200 Garden View Rd, Suite 200, Encinitas, CA 92024-2477 | 2012-07-25 |
| 1710200530 | Michael J. Sasevich, M.d., A Professional Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 Garden View Rd, Suite 200, Encinitas, CA 92024-2477 | 2010-03-08 |
| 1548419526 | Regents of The University of California | Clinic/Center | 1200 Garden View Rd, Suite 210, Encinitas, CA 92024-2477 | 2008-09-15 |
| 1164607875 | James John Urbanic | Radiology | 1200 Garden View Rd, Ucsd Radiation Oncology North County #210, Encinitas, CA 92024-2477 | 2008-01-02 |
| 1750566311 | Popovics Chiropractic, Inc | Chiropractor | 1200 Garden View Rd, Suite 106, Encinitas, CA 92024-2477 | 2008-01-02 |
| 1053519280 | Anjali Anil Bharne | Internal Medicine | 1200 Garden View Rd, Suite 200, Encinitas, CA 92024-2477 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| 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 |
|---|---|---|---|---|
| 1447403811 | Matthew John Davis | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-10-29 |
| 1063505329 | Tom D Keller | Dentist | 1443 Encinitas Blvd, Encinitas, CA 92024-2931 | 2006-10-01 |
| 1326293374 | Stephanie Lee Dixon | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-11-18 |
| 1215181045 | John Patrick Davis | Dentist | 477 N El Camino Real Ste B203, Encinitas, CA 92024-1353 | 2008-11-06 |
| 1992795272 | Dental Specialty Associates | Dentist | 477 N El Camino Real, B203, Encinitas, CA 92024-1328 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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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.