AMERIDENT HEALTH PRO, INC. (NPI# 1689030462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689030462 |
| Entity Type | Organization |
| Organization Name | AMERIDENT HEALTH PRO, INC. |
| Other Organization Name | MARINA FAMILY DENTISTRY |
| Practice Address |
13155 Mindanao Way Marina Del Rey CA 90292-6307 |
| Practice Telephone | 3102680646 |
| Practice Fax Number | 3102680536 |
| Mailing Telephone | 3102680646 |
| Mailing Fax Number | 3102680536 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Authorized Official Name | DR. WILLIAM GINZBURG (PRACTICE OWNER) |
| Authorized Official Telephone | 3102680646 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIDENT HEALTH PRO, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 40241 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Marina Family Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467818401 | Amerident Health Pro, Inc. | Dentist | 3130 S Sepulveda Blvd, Suite D, Los Angeles, CA 90034-4215 | 2016-01-06 |
| Street Address |
13155 MINDANAO WAY |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700093697 | Marina Dental Center | Dentist | 13155 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2007-05-17 |
| 1235349911 | Marina Dental Center | Dentist | 13155 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2007-05-23 |
| 1396954137 | Marina Dental Center | Dentist | 13155 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| 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 |
|---|---|---|---|---|
| 1396397345 | Shikha Manoj Shah | Dentist | 4163 Via Marina Apt 103, Marina Del Rey, CA 90292-5328 | 2019-07-10 |
| 1215325857 | Tamara Matevosyan | Dentist | 3206 Washington Blvd, Marina Del Rey, CA 90292-5553 | 2015-01-06 |
| 1538508254 | Niki Ghaem-maghami | Dentist | 3950 Via Dolce Apt 509, Marina Del Rey, CA 90292-5252 | 2013-06-15 |
| 1659614014 | Elinaz Shoushtari Moghaddam | Dentist | 13700 Marina Pointe Dr Unit 901, Marina Del Rey, CA 90292-9263 | 2013-04-03 |
| 1538390562 | Michael Siazon Capio | Dentist | 3017 Washington Blvd, Marina Del Rey, CA 90292-5548 | 2009-08-08 |
| 1679746861 | Paige Moosavi | Dentist | 4676 Admiralty Way Ste 532, Marina Del Rey, CA 90292-6657 | 2008-04-08 |
| 1972704468 | Kenneth H. Sakurai | Dentist | 4553 Glencoe Ave Ste 215, Marina Del Rey, CA 90292-7908 | 2007-05-30 |
| 1831303031 | William George Frith | Dentist | 4553 Glencoe Ave, #310, Marina Del Rey, CA 90292-7906 | 2007-05-09 |
| 1508899592 | Wasim Turkmani | Dentist | 4292 Lincoln Blvd, Marina Del Rey, CA 90292-5655 | 2006-07-10 |
| 1295249662 | Yeo Family Dental Group | Dentist | 4560 Admiralty Way Ste 350, Marina Del Rey, CA 90292-5446 | 2017-11-21 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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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.