DR. PATRICIA HADIWIDJAJA (NPI# 1740578467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740578467 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA HADIWIDJAJA |
| Credential | DDS |
| Practice Address |
135 1/2 S Knott Ave Anaheim CA 92804-1406 |
| Mailing Address |
1049 E Brookdale Pl Fullerton CA 92831-3330 |
| Practice Telephone | 7145272297 |
| Mailing Telephone | 7142447424 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 60534 | CA | Dental Providers |
| Street Address |
135 1/2 S KNOTT AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639521982 | Pou Dental Practice Inc. | Dentist | 135 1/2 S Knott Ave, Anaheim, CA 92804-1406 | 2016-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1275189631 | Paulina Saraza | Dentist | 8009 E Snowberry Ln, Anaheim, CA 92808-1945 | 2019-08-12 |
| 1003379264 | Shirley T Lee and Associates A Dental Corp | Dentist | 5475 E La Palma Ave Ste 200, Anaheim, CA 92807-2075 | 2019-04-12 |
| 1306323324 | Priscilla Andressa Cury Rosa | Dentist | 2835 W Lincoln Ave, Anaheim, CA 92801-6212 | 2018-07-23 |
| 1801320775 | Kw Youn Dds Dental Corporation | Dentist | 1134 N State College Blvd, Suite C, Anaheim, CA 92806-2771 | 2017-04-17 |
| 1093253981 | Linda A Torres D.d.s. Inc | Dentist | 3246 W Lincoln Ave, Anaheim, CA 92801-6007 | 2017-02-10 |
| 1235688821 | Eman Mikhail D.d.s. Dental Corp | Dentist | 5675 E La Palma Ave, Anaheim, CA 92807-2107 | 2016-09-24 |
| 1922452309 | Royal Smile Center | Dentist | 1715 W Romneya Dr, Anaheim, CA 92801-1804 | 2016-04-21 |
| 1669833505 | Consumerhealth, Inc. | Dentist | 150 N State College Blvd, Anaheim, CA 92806-2909 | 2016-03-18 |
| 1801255773 | Mohammad Rahnamay Naeini | Dentist | 7989 E Viewrim Dr, Anaheim, CA 92808-2135 | 2016-02-19 |
| 1932565918 | Tran and Vu Dental Corporation | Dentist | 10425 Magnolia Ave, Anaheim, CA 92804-5113 | 2016-01-07 |
| Find all providers in ANAHEIM | ||||
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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.