CLOVIS II BAYRAKDARIAN, D.M.D., A PROFESSIONAL CORPORATION (NPI# 1629501416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629501416 |
Entity Type | Organization |
Organization Name | CLOVIS II BAYRAKDARIAN, D.M.D., A PROFESSIONAL CORPORATION |
Other Organization Name | UNIQUE ORTHODONTICS |
Practice Address |
427 W Nees Ave Ste 101 Clovis CA 93611-4434 |
Practice Telephone | 5592972121 |
Practice Fax Number | 5593221306 |
Mailing Telephone | 5592972121 |
Mailing Fax Number | 5593221306 |
Enumeration Date | 2017-04-07 |
Last Update Date | 2020-02-12 |
Authorized Official Name | ANGIE BURUCA (ASSISTANT MANAGER) |
Authorized Official Telephone | 5592972121 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
50037 | CA | Dental Providers |
Other Name | Type Code |
---|---|
Unique Orthodontics | Doing Business As Name - Organization |
Street Address |
427 W NEES AVE STE 101 |
City | CLOVIS |
State | CA |
Zip Code | 93611-4434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164032074 | Bayrakdarian Clovis II, D.m.d., Inc., A California Professional Dental | Oral & Maxillofacial Surgery | 427 W Nees Ave Ste 101, Clovis, CA 93611-4434 | 2020-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
Find all providers in zip 93611 |
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 |
---|---|---|---|---|
1568063576 | Clovis Orthodontics, Pllc | Dentist | 901 E 21st St Ste A, Clovis, NM 88101-4492 | 2020-11-05 |
1902464175 | Diciccio Freeman Orthodontics | Dentist | 2127 Herndon Ave Ste 101, Clovis, CA 93611-6303 | 2019-06-03 |
1639602428 | I. J. Bayrakdarian Dmd A Professional Corporation | Dentist | 451 Clovis Ave Ste 105, Clovis, CA 93612-1197 | 2017-04-07 |
1174772784 | David Wayne Farnsworth | Dentist | 901 E 21st St Ste B, Clovis, NM 88101-4492 | 2008-09-18 |
1275739112 | David Clark Freeman | Dentist | 2127 Herndon Ave, Suite 101, Clovis, CA 93611-6303 | 2007-06-26 |
1467577528 | Larry D Cross | Dentist | 451 Clovis Ave, Suite 105, Clovis, CA 93612-1197 | 2007-03-20 |
1790926673 | David C. Freeman, Dds, Ms, Inc. | Dentist | 2127 Herndon Ave, Suite 101, Clovis, CA 93611-6303 | 2009-03-23 |
1063669356 | Bayrakdarian Orthodontics LLC | Dentist | 451 Clovis Ave, Suite 105, Clovis, CA 93612-1194 | 2008-08-19 |
1376744821 | Bruce J Fremming Dds Inc | Dentist | 280 Shaw Ave, Suite E, Clovis, CA 93612-3800 | 2007-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
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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.