CHINO HILLS DENTISTRY (NPI# 1396167896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396167896 |
| Entity Type | Organization |
| Organization Name | CHINO HILLS DENTISTRY |
| Practice Address |
3110 Chino Ave Suite 260 Chino Hills CA 91709 |
| Practice Telephone | 9093648282 |
| Practice Fax Number | 9093648330 |
| Mailing Telephone | 9093648282 |
| Mailing Fax Number | 9093648330 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Authorized Official Name | MR. RANDY L AGNEW (PRESIDENT) |
| Authorized Official Telephone | 9093648282 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 55132 | CA | Dental Providers |
| Street Address |
3110 CHINO AVE SUITE 260 |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381711 | Michael Deanda | Family Medicine | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1211 | 2005-07-29 |
| 1144651407 | Deanna Schmitt | Physical Therapist | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1211 | 2013-12-11 |
| 1508151705 | Inland Empire Medical Network | Dermatology | 3110 Chino Ave, Suite 270, Chino Hills, CA 91709-1211 | 2011-06-15 |
| 1588983654 | Wajiha Khan | Family Medicine | 3110 Chino Ave, 150a, Chino Hills, CA 91709-1211 | 2010-05-27 |
| 1073844650 | Evangeline Obrero | Physician Assistant | 3110 Chino Ave, 150b, Chino Hills, CA 91709-1211 | 2010-01-21 |
| 1396973145 | Pro-body Orthopaedic & Sports Physical Therapy, Inc. | Physical Therapist | 3110 Chino Ave, Suite 270, Chino Hills, CA 91709-1211 | 2009-06-30 |
| 1225294713 | Sula M Safar | Family Medicine | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1211 | 2008-08-04 |
| 1639345861 | John Robert Bottala | Dentist | 3110 Chino Ave, Suite 200, Chino Hills, CA 91709-1211 | 2008-05-07 |
| 1033231402 | Eric John Mccabe | Physical Therapist | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1211 | 2007-04-04 |
| 1104971704 | James M Park | Dentist | 3110 Chino Ave, Suite 240, Chino Hills, CA 91709 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| 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 |
|---|---|---|---|---|
| 1750867487 | Kiatkachorn Ratanatharathorn | Dentist | 14270 Chino Hills Pkwy, Chino Hills, CA 91709-4880 | 2018-07-16 |
| 1457701294 | Evangelos Bartsokas | Dentist | 3410 Grand Ave Ste F, Chino Hills, CA 91709 | 2016-06-13 |
| 1639539604 | Avion Dental | Dentist | 4665 Chino Hills Pkwy, Ste D, Chino Hills, CA 91709-5858 | 2016-03-03 |
| 1730564493 | Suk-ho Chang | Dentist | 2557 Chino Hills Pkwy Ste C, Chino Hills, CA 91709-5103 | 2015-07-23 |
| 1659753267 | Jose F. Miranda D.d.s., Inc. | Dentist | 14676 Pipeline Ave Ste R, Chino Hills, CA 91709-1918 | 2015-06-19 |
| 1699102020 | Karim Magid Zaklama | Dentist | 1930 Rancho Hills Dr, Chino Hills, CA 91709-4750 | 2013-09-30 |
| 1558612945 | Maral Khazali | Dentist | 5771 Pine Ave Ste S, Chino Hills, CA 91709-6529 | 2012-09-25 |
| 1427280197 | Kevin Meng-hsiang Huang | Dentist | 15941 Wilmington Rd, Chino Hills, CA 91709-8810 | 2009-08-14 |
| 1689825804 | Gary Lewis France | Dentist | 3272 Skyview Rdg, Chino Hills, CA 91709-3541 | 2008-10-07 |
| 1962671610 | David Seung-hoon Han | Dentist | 4200 Chino Hills Pkwy Ste 355, Chino Hills, CA 91709 | 2008-02-27 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
Please comment or provide details below to improve the information on CHINO HILLS DENTISTRY.
| 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.