DR. GORDON SOULE KILMER (NPI# 1518055292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518055292 |
| Entity Type | Individual |
| Full Name | DR. GORDON SOULE KILMER |
| Credential | DDS, MS |
| Practice Address |
4980 Barranca Pkwy Suite 200 Irvine CA 92604-8645 |
| Mailing Address |
1843 Port Kimberly Pl Newport Beach CA 92660-6621 |
| Practice Telephone | 9495516913 |
| Mailing Telephone | 9497603636 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| 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 |
43614 | CA | Dental Providers |
| Street Address |
4980 BARRANCA PKWY SUITE 200 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-8645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528041704 | Bruce M Albert | Orthopaedic Surgery | 4980 Barranca Pkwy, Suite 201, Irvine, CA 92604-8645 | 2005-11-22 |
| 1679993091 | Matthew C Tsai Dds Inc | Clinic/Center | 4980 Barranca Pkwy, #204, Irvine, CA 92604-8645 | 2014-04-24 |
| 1285070466 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 4980 Barranca Pkwy, Suite 204, Irvine, CA 92604-8645 | 2013-05-15 |
| 1104170323 | Laura Kay Villasenor | Nurse Practitioner | 4980 Barranca Pkwy, Suite 200, Irvine, CA 92604-8645 | 2012-11-09 |
| 1790045300 | Zain Vally Md Inc A Professional Corporation | Internal Medicine | 4980 Barranca Pkwy, Suite 195, Irvine, CA 92604 | 2012-05-17 |
| 1962769729 | The Spine and Pain Center of Orange County | Internal Medicine | 4980 Barranca Pkwy, Suite 195, Irvine, CA 92604-8645 | 2012-04-18 |
| 1831465798 | Minkyung Jung | Acupuncturist | 4980 Barranca Pkwy, #130, Irvine, CA 92604-8645 | 2012-03-26 |
| 1710251764 | Badii Lee Dental Corporation, Inc | Dentist | 4980 Barranca Pkwy, Suite 101, Irvine, CA 92604-8645 | 2012-03-07 |
| 1538459979 | Mspt Inc | Physical Therapist | 4980 Barranca Pkwy, Suite 195, Irvine, CA 92604-8645 | 2011-04-18 |
| 1497056824 | Tracy Melinda Arsenault | Physician Assistant | 4980 Barranca Pkwy, Suite 200, Irvine, CA 92604-8645 | 2010-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| 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 |
|---|---|---|---|---|
| 1720648280 | Jessica Liu | Dentist | 32 Bell Chime, Irvine, CA 92618-8804 | 2019-06-17 |
| 1073094652 | David Phoon Choe | Dentist | 113 Waterworks Way Ste 215, Irvine, CA 92618-3176 | 2018-08-22 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1295136570 | Junyi Xie | Dentist | 23 Native Trl, Irvine, CA 92618-8855 | 2014-09-05 |
| 1760815856 | Sheila Soroushian | Dentist | 10 Palermo, Irvine, CA 92614-7315 | 2013-08-13 |
| 1790054344 | Gregory P Johnson Dds Ms Inc | Dentist | 5394 Walnut Ave Ste H, Irvine, CA 92604-2591 | 2011-12-27 |
| 1336428994 | Christopher Minh Chau | Dentist | 3132 Watermarke Pl, Irvine, CA 92612-5614 | 2011-08-12 |
| 1134417603 | Badii Lee Dental Corporation, Inc | Dentist | 14370 Culver Dr Ste A, Irvine, CA 92604-0319 | 2011-07-18 |
| 1245545375 | Augustine Sang Kim | Dentist | 18 Glorieta W, Irvine, CA 92620-1850 | 2010-08-12 |
| 1164750501 | Robert James Passamano | Dentist | 4200 Barranca Pkwy, Irvine, CA 92604-4741 | 2009-11-23 |
| Find all providers in IRVINE | ||||
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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.