DR. JENNIFER CAROLAN HEARNE (NPI# 1538349576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538349576 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER CAROLAN HEARNE |
| Credential | M.D., D.D.S. |
| Practice Address |
249 Notteargenta Rd Pacific Palisades CA 90272-3111 |
| Practice Telephone | 3102613534 |
| Mailing Telephone | 3102613534 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2010-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | A113328 | CA | Allopathic & Osteopathic Physicians |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 48460 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588210777 | Jennifer Ann Hearne | Pediatrics | 50 N Medical Drive Nbicu, Slc, UT 84132-0001 | 2019-08-13 |
| 1992953699 | Jennifer L Hearne | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2008-09-05 |
| Street Address |
249 NOTTEARGENTA RD |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 90272-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
| 1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
| 1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
| 1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
| 1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
| 1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
| 1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
| Find all providers in zip 90272 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457983025 | Olena Norris Dds Dental Corporation | Oral & Maxillofacial Surgery | 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 | 2020-02-11 |
| 1306498829 | Henry Mayo Newhall Clinics, LLC | Oral & Maxillofacial Surgery | 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 | 2019-07-15 |
| 1396211926 | Fremont Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 39210 State St Ste 115, Fremont, CA 94538-1456 | 2018-10-22 |
| 1013495985 | Ned L. Nix, Dds, Inc | Oral & Maxillofacial Surgery | 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 | 2018-08-02 |
| 1811475759 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 | 2018-08-02 |
| 1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
| 1710354162 | Michael J. Belton Dds,md Inc. | Oral & Maxillofacial Surgery | 2045 Compton Ave Ste 102, Corona, CA 92881-7293 | 2015-09-01 |
| 1508263740 | F.a.c.e. Surgical Center of The Desert | Oral & Maxillofacial Surgery | 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 | 2014-12-03 |
| 1407114499 | Niloofar Deyhim | Oral & Maxillofacial Surgery | 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 | 2012-04-26 |
| 1437479144 | Brian Robert Carr | Oral & Maxillofacial Surgery | 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 | 2010-06-03 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC PALISADES |
| Zip Code | 90272 |
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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.