JUAN G. MARTINEZ DDS, INC (NPI# 1750980140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750980140 |
| Entity Type | Organization |
| Organization Name | JUAN G. MARTINEZ DDS, INC |
| Other Organization Name | CORONA SMILE SHOPPE |
| Practice Address |
490 N Main St Ste 207 Corona CA 92878-3461 |
| Mailing Address |
2919 Willow Rd San Pablo CA 94806-3723 |
| Practice Telephone | 9514447010 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | DR. JUAN GERARDO MARTINEZ (DIRECTOR) |
| Authorized Official Telephone | 5106971029 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Corona Smile Shoppe | Doing Business As Name - Organization |
| Street Address |
490 N MAIN ST STE 207 |
| City | CORONA |
| State | CA |
| Zip Code | 92878-3461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003363243 | Juan Gerardo Martinez | Dentist | 490 N Main St Ste 207, Corona, CA 92878-3461 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534419 | Infusion Partners 360 Consulting Group, LLC | Home Health | 4254 Green River Rd, Corona, CA 92878-3869 | 2020-09-30 |
| 1134733470 | Camilla Ahlqvist | Dietitian, Registered | 241 W Rincon St, Corona, CA 92878-4050 | 2020-09-03 |
| 1992318810 | Cassidy Claveau | Behavior Technician | 391 Jenks Dr, Corona, CA 92878-5018 | 2020-08-29 |
| 1346388741 | Louis Richard Alvarez | Psychiatry & Neurology | 16756 Chino-corona Road, California Institution for Women, Corona, CA 92878-6000 | 2007-02-01 |
| 1104431774 | Andrea Marie Gonzalez | Specialist/Technologist | 1202 Kingsdale Dr, Corona, CA 92878-7708 | 2020-09-10 |
| 1316545577 | Jillian Gottesman | Social Worker | 11541 Norgate Cir, Corona, CA 92878-9117 | 2020-10-10 |
| 1164666319 | Anne Sommers | Midwife | 414 W Grand Blvd, Corona, CA 92878-9500 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831015 | Ayanna D Davis | Behavior Technician | 425 E Monterey Rd, Corona, CA 92879-2839 | 2020-11-06 |
| 1790386167 | Chirley Oviedo | Behavior Technician | 285 S Vicentia Ave Apt 3, Corona, CA 92882-2157 | 2020-11-03 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1326647835 | Jazmin Flores | Registered Nurse | 230 N Sherman Ave, Corona, CA 92882-1843 | 2020-10-26 |
| 1063011799 | Jordan Chelsey Douglas | Dentist | 460 N Mckinley St, Corona, CA 92879-3405 | 2020-10-23 |
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1508465980 | Victoria Ogechi Iwuji | Registered Nurse | 9838 57th Ave Apt 5f, Corona, NY 11368-4923 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| Find all providers in CORONA | ||||
| 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 |
|---|---|---|---|---|
| 1063011799 | Jordan Chelsey Douglas | Dentist | 460 N Mckinley St, Corona, CA 92879-3405 | 2020-10-23 |
| 1003423286 | Radhika Makadia | Dentist | 8387 Butterfly Bush Ct, Corona, CA 92883-4936 | 2020-09-30 |
| 1225646706 | Shweta Jain | Dentist | 3460 Summitpointe Cir, Corona, CA 92881-8354 | 2020-07-21 |
| 1730797614 | Brittany Sharleen Watu | Dentist | 916 W. Sixth Street, Corona, CA 92882-3239 | 2020-07-16 |
| 1144868373 | Jacqueline Astrid Marquez | Dentist | 1312 E Ontario Ave Ste 102, Corona, CA 92881-6645 | 2019-12-18 |
| 1447715743 | J Chun Dental Corp | Dentist | 1112 W 6th St Ste 105, Corona, CA 92882-3137 | 2019-01-31 |
| 1831614213 | Sam S Park | Dentist | 1222 Magnolia Ave Ste 101, Corona, CA 92881-2075 | 2017-08-07 |
| 1609322155 | Abhishek Joshi Dds,inc. | Dentist | 12738 Longhorne Dr, Corona, CA 92880-8839 | 2016-08-25 |
| 1932559713 | Wonjoon Lee | Dentist | 3283 Quartz Cir, Corona, CA 92882-6096 | 2016-06-13 |
| 1124476254 | Bhavik Bhakta | Dentist | 770 Magnolia Ave Ste 1a, Corona, CA 92879-3121 | 2016-05-31 |
| Find all providers in CORONA | ||||
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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.