JONAH AND CALEB SMILE PARTNERSHIP (NPI# 1528576394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528576394 |
| Entity Type | Organization |
| Organization Name | JONAH AND CALEB SMILE PARTNERSHIP |
| Other Organization Name | RIVERSIDE ORTHODONTICS |
| Practice Address |
7170 Indiana Ave Riverside CA 92504-4544 |
| Mailing Address |
5394 Walnut Ave Ste H Irvine CA 92604-2591 |
| Practice Telephone | 9512480567 |
| Mailing Telephone | 9492629567 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Authorized Official Name | DR. TRANG THUY NGUYEN (PARTNER) |
| Authorized Official Telephone | 7142511614 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
56206 | CA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
58041 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Riverside Orthodontics | Doing Business As Name - Organization |
| Street Address |
7170 INDIANA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245697473 | Ronald Simus I | Dentist | 7170 Indiana Ave, Riverside, CA 92504-4544 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| 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 |
|---|---|---|---|---|
| 1245697473 | Ronald Simus I | Dentist | 7170 Indiana Ave, Riverside, CA 92504-4544 | 2016-01-19 |
| 1538460811 | Lee Eugene Olsen | Dentist | 3564 Van Buren Blvs, Riverside, CA 92503 | 2010-11-03 |
| 1043540164 | Rosa Peng | Dentist | 10600 Magnolia Ave Ste A, Riverside, CA 92505-1819 | 2010-01-12 |
| 1164674859 | Carrie Akemi Imoto | Dentist | 3511 Madison St, Riverside, CA 92504-3739 | 2008-10-14 |
| 1871755652 | Dr.h.c.ahuja Dds A P C | Dentist | 4959 Arlington Ave Ste H, Riverside, CA 92504-2756 | 2008-07-02 |
| 1063613842 | Michael Chad Hawkins | Dentist | 3511 Madison Ave Suite F, Riverside, CA 92504 | 2007-05-30 |
| 1740492081 | Larry B. Crawford | Dentist | 301 E Alessandro Blvd Ste 3b, Riverside, CA 92508-2464 | 2007-05-06 |
| 1013035153 | C Douglas Fowler Dds Inc | Dentist | 6850 Brockton Avenue, Suite 103, Riverside, CA 92506-3826 | 2007-03-27 |
| 1750405288 | E Jan Davidian | Dentist | 6886 Indiana Ave, Riverside, CA 92506-4218 | 2007-03-19 |
| 1528120797 | Hongsheng Sam Tong | Dentist | 11705 Slate Ave Ste 150, Riverside, CA 92505-7119 | 2006-12-14 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on JONAH AND CALEB SMILE PARTNERSHIP.
| 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.