MICHAEL BANAWIS DDS PROFESSIONAL CORPORATION (NPI# 1366593097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366593097 |
| Entity Type | Organization |
| Organization Name | MICHAEL BANAWIS DDS PROFESSIONAL CORPORATION |
| Practice Address |
1745 Huntington Dr Duarte CA 91010-2551 |
| Practice Telephone | 6263579801 |
| Practice Fax Number | 6263581706 |
| Mailing Telephone | 6263579801 |
| Mailing Fax Number | 6263581706 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | DR. MICHAEL B BANAWIS (DENTIST) |
| Authorized Official Telephone | 6263579801 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
49278 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | 523009 | 01 |
| Street Address |
1745 HUNTINGTON DR |
| City | DUARTE |
| State | CA |
| Zip Code | 91010-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| 1114120516 | Daisy Francisca Debora | Dentist | 1016 Huntington Dr, Duarte, CA 91010 | 2007-06-06 |
| 1497885859 | Paul L Tran | Dentist | 1217 Buena Vista, Ste 202, Duarte, CA 91010 | 2007-03-06 |
| 1043350671 | Mohamad Saleh Kholaki | Dentist | 1230 Huntington Dr, #5, Duarte, CA 91010-2404 | 2007-02-06 |
| 1861544702 | Western Dental Services, Inc. | Dentist | 1305 Huntington Dr, Duarte, CA 91010-2527 | 2007-01-18 |
| 1518024017 | Maribelle Tam | Dentist | 1217 Huntington Dr, Duarte, CA 91010-2454 | 2007-01-03 |
| 1750390365 | Nilima M Patel | Dentist | 1227 Buena Vista St, Suite A, Duarte, CA 91010-2486 | 2006-08-05 |
| 1376577544 | Pragnesh J Dholakiya | Dentist | 1217 Buena Vista St, Duarte, CA 91010-2408 | 2006-07-11 |
| 1871556563 | Hansa Arun Asher | Dentist | 1183 Huntington Dr, Duarte, CA 91010-2400 | 2006-04-11 |
| 1073713392 | Pragnesh J Dholakiya and Pooran B Dalwani | Dentist | 1217 Buena Vista St, Ste 202, Duarte, CA 91010-2408 | 2007-07-24 |
| Find all providers in DUARTE | ||||
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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.