NEWPORT DENTAL SPECIALTIES (NPI# 1730396425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730396425 |
| Entity Type | Organization |
| Organization Name | NEWPORT DENTAL SPECIALTIES |
| Practice Address |
1401 Avocado Ave Suite 404 Newport Beach CA 92660-7720 |
| Practice Telephone | 9496401122 |
| Practice Fax Number | 9496400929 |
| Mailing Telephone | 9496401122 |
| Mailing Fax Number | 9496400929 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAN SPEARS (ADMINISTRATOR) |
| Authorized Official Telephone | 9496401122 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
37165 | CA | Dental Providers |
| Street Address |
1401 AVOCADO AVE SUITE 404 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929310 | Elizabeth O'connell | Pediatrics | 1401 Avocado Ave, Suite 802, Newport Beach, CA 92660-7720 | 2005-08-16 |
| 1801337613 | Greg Barme Md Inc. | Urology | 1401 Avocado Ave, #608, Newport Beach, CA 92660-7720 | 2017-03-13 |
| 1558804799 | Foroutan Dentistry, Inc | Dentist | 1401 Avocado Ave, Suite 209, Newport Beach, CA 92660-7720 | 2016-11-21 |
| 1003269549 | Annette Mcauley | Dermatology | 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660-7720 | 2016-07-20 |
| 1376990382 | Susan A. Bollinger, Dds, Inc. | Dentist | 1401 Avocado Ave, Suite 309, Newport Beach, CA 92660-7720 | 2016-05-19 |
| 1881058246 | Ambulatory Surgery Unit A | Clinic/Center | 1401 Avocado Ave, Suite 301, Newport Beach, CA 92660-7720 | 2016-04-11 |
| 1457711699 | Surger Dental Corporation | Dentist | 1401 Avocado Ave, 507, Newport Beach, CA 92660-7720 | 2016-03-01 |
| 1366819674 | Eliza-jasmine Tran, Md Inc. | Plastic Surgery | 1401 Avocado Ave, Suite 810, Newport Beach, CA 92660-7720 | 2015-08-24 |
| 1962887703 | Sarah Victoria Standel | Physician Assistant | 1401 Avocado Ave, Suite 703, Newport Beach, CA 92660-7720 | 2015-07-22 |
| 1386031151 | Newport Cosmetic Dental Associates | Dentist | 1401 Avocado Ave, #502, Newport Beach, CA 92660-7720 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1740338276 | John Branson Chrispens | Dentist | 2372 Se Bristol St, Suite A, Newport Beach, CA 92660-0755 | 2007-01-08 |
| 1467891846 | Michael Gahagan | Dentist | 1441 Avocado Ave, Newport Beach, CA 92660-7721 | 2013-06-19 |
| 1720353626 | Samira Samini | Dentist | 601 Dover Dr Ste 5, Newport Beach, CA 92663-5721 | 2012-03-12 |
| 1790995660 | Michael J. Gahagan, D.d.s., A Professional Corporation | Dentist | 1441 Avocado Ave, Suite 605, Newport Beach, CA 92660-7721 | 2007-05-22 |
| 1023223740 | Kyuyoung Lim | Dentist | 400 Newport Center Dr, 208, Newport Beach, CA 92660-7601 | 2007-05-14 |
| 1255421798 | Corwin Winslow Evans | Dentist | 1401 Avocado Ave, Suite 309, Newport Beach, CA 92660-7720 | 2006-10-13 |
| 1538258843 | John Patrick Brady | Dentist | 400 Newport Center Dr, Suite 306, Newport Beach, CA 92660-7601 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| 1801453121 | Jean-jacques Elbaz, D.d.s., M.s. A Prof Dental Corp | Dentist | 9465 Wilshire Blvd Ste 450, Beverly Hills, CA 90212-2614 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.