NEWPORT ENDODONTIC GROUP (NPI# 1366572679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366572679 |
| Entity Type | Organization |
| Organization Name | NEWPORT ENDODONTIC GROUP |
| Practice Address |
1441 Avocado Ave Ste 401 Newport Beach CA 92660-7705 |
| Practice Telephone | 9496440595 |
| Practice Fax Number | 9496445082 |
| Mailing Telephone | 9496440595 |
| Mailing Fax Number | 9496445082 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN BUONCRISTIANI (PARTNER) |
| Authorized Official Telephone | 9496440595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
CA | Dental Providers |
| Street Address |
1441 AVOCADO AVE STE 401 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818157 | Aliakbar Vahdati Dental Corporation | Dentist | 355 Placentia Ave Ste 304, Newport Beach, CA 92663-3304 | 2018-10-30 |
| 1548414493 | Bruce Harkins | Dentist | 400 Newport Center Dr Ste 604, Newport Beach, CA 92660-7612 | 2008-11-05 |
| 1942451414 | Richard C Wittenauer | Dentist | 180 Newport Center Dr # 204, Newport Beach, CA 92660-6972 | 2008-10-02 |
| 1194810473 | Robert John Cavalieri | Dentist | 1441 Avocado Avenue, Suite 401, Newport Beach, CA 92660 | 2006-10-04 |
| 1285728600 | Jeffrey Richard Pene | Dentist | 1441 Avocado Ave., Suite #401, Newport Beach, CA 92660 | 2006-10-02 |
| 1689703738 | Janice C Chou | Dentist | 1441 Avocado Ave, Suite 509, Newport Beach, CA 92660-7721 | 2007-03-05 |
| 1902904964 | James Scott Socoloske | Dentist | 355 Placentia Ave, #304, Newport Beach, CA 92663-3311 | 2006-09-20 |
| 1033221288 | John Buoncristiani | Dentist | 1441 Avocado Ave, Suite #401, Newport Beach, CA 92660-7721 | 2006-08-31 |
| 1003928250 | Edward Pellis | Dentist | 1441 Avocado Ave, Suite #401, Newport Beach, CA 92660-7721 | 2006-08-31 |
| 1275579591 | Richard B Angell IIi | Dentist | 200 Newport Center Dr, Suite 311, Newport Beach, CA 92660-7501 | 2006-06-22 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on NEWPORT ENDODONTIC GROUP.
| 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.