STEPHEN P. HENRY (NPI# 1740497395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740497395 |
| Entity Type | Individual |
| Full Name | STEPHEN P. HENRY |
| Credential | D.M.D. |
| Practice Address |
15525 Pomerado Rd Ste C4 Poway CA 92064-2426 |
| Practice Telephone | 8584870173 |
| Practice Fax Number | 8584870513 |
| Mailing Telephone | 8584870173 |
| Mailing Fax Number | 8584870513 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
29291 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LISCENSE NUMBER | 29291 | 01 |
| CA | UNITED CONCORDIA ID NUMBE | 45946 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851455117 | Stephen M Henry | Dentist | 4615 Philips Hwy Ste 3, Jacksonville, FL 32207-9506 | 2006-12-21 |
| 1942379599 | Stephen Craig Henry | Chiropractor | 412 Mountain Drive, Dr Stephen C Henry Henry Chiropractic Clinic, Destin, FL 32541-2334 | 2006-11-07 |
| 1104915768 | Stephen Conway Henry | Urology | 316 Madrone Ave, Pescadero, CA 94060-0795 | 2006-10-12 |
| 1801985213 | Stephen R Henry | Dentist | 1098 Foster City Blvd Ste 101, Foster City, CA 94404-2302 | 2006-10-12 |
| 1326646993 | Stephen Anthony Henry | Licensed Practical Nurse | 65 South St, Marlboro, NY 12542-6316 | 2020-10-15 |
| 1992187447 | Stephen Henry | Physical Therapist | 10220 River Rd, #2, Potomac, MD 20854-4916 | 2015-06-22 |
| 1679905707 | Stephen Noel Henry | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2013-07-31 |
| 1891073615 | Stephen Craig Henry II | Chiropractor | 821 Debary Ave, Deltona, FL 32725-8805 | 2011-07-27 |
| 1619157666 | Stephen Howard Henry | Pharmacist | 4102 Pinion Dr, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2007-11-07 |
| 1417173741 | Stephen Mark Henry | Counselor | 225 W 1st North St, Morristown, TN 37814-4614 | 2007-04-17 |
| Street Address |
15525 POMERADO RD STE C4 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| 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 |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1821311051 | Kaz Asgharnia Newman | Dentist | 13327 Poway Rd, Poway, CA 92064-4625 | 2010-03-02 |
| 1114041456 | Louie Haidar | Dentist | 12649 Poway Rd, Poway, CA 92064-4415 | 2007-03-19 |
| 1164574729 | Peter Jeffrey Bauer | Dentist | 13035 Pomerado Rd, Poway, CA 92064-4247 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.