VALUE DENTAL CENTERS MORENO VALLEY CA - RJ HOUCHIN DENTAL PRACTICE INC (NPI# 1780030585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780030585 |
| Entity Type | Organization |
| Organization Name | VALUE DENTAL CENTERS MORENO VALLEY CA - RJ HOUCHIN DENTAL PRACTICE INC |
| Practice Address |
12721 Moreno Beach Dr Moreno Valley CA 92555-4411 |
| Practice Telephone | 8777271258 |
| Practice Fax Number | 9514857558 |
| Mailing Telephone | 9516927300 |
| Mailing Fax Number | 9514857558 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | ROBERT JAMES HOUCHIN (OWNER) |
| Authorized Official Telephone | 9095763999 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
28166 | CA | Ambulatory Health Care Facilities |
| Street Address |
12721 MORENO BEACH DR |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801813043 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2006-07-16 |
| 1710510078 | Patricia Wai Od Inc | Optometrist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2020-02-14 |
| 1104310812 | Girish R Shah | Pharmacy | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2018-06-15 |
| 1659862563 | Sarah Sallam | Pharmacist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2018-05-25 |
| 1770089054 | Dawanna Rebecca Carson | Dentist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2018-04-04 |
| 1306227392 | Patricia Wai | Optometrist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2015-06-15 |
| 1184061939 | T Kirkland Dds PC | Dentist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2013-06-03 |
| 1104138031 | Alison Christene Austin | Dentist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2010-07-08 |
| 1023299492 | Firstsight Vison Services, Inc. | Optometrist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2007-11-14 |
| 1376693408 | Huyen D Doan Stewart | Optometrist | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700374741 | Michael L Luther D.d.s Inc | Clinic/Center | 24104 Sunnymead Blvd Ste C, Moreno Valley, CA 92553-7732 | 2018-04-25 |
| 1962811349 | Donald L Iman Dds Inc. | Clinic/Center | 23470 Olive Wood Plaza Dr Ste 170, Moreno Valley, CA 92553-5267 | 2014-08-11 |
| 1184030769 | Thanos Dds Inc | Clinic/Center | 24104 Sunnymead Blvd # C, Moreno Valley, CA 92553 | 2014-07-03 |
| 1184848673 | Majdi Oubeid Dds Inc | Clinic/Center | 24021 Alessandro, #120, Moreno Valley, CA 92553 | 2007-04-13 |
| 1649879636 | Young Sik Lim, Dds, Inc | Clinic/Center | 11481 Heacock St Ste 160, Moreno Valley, CA 92557-7906 | 2020-10-20 |
| 1548612856 | Dr. Deza's Dental Office Inc. | Clinic/Center | 23080 Alessandro Blvd Ste 201, Moreno Valley, CA 92553-9674 | 2016-07-11 |
| 1801210570 | Robert R. Iannello, Dds, Inc. | Clinic/Center | 23940 Ironwood Ave, Suite C, Moreno Valley, CA 92557-7154 | 2014-02-14 |
| 1730320078 | Premal Naik Dental Corporation | Clinic/Center | 24941 Sunnymead Blvd, Moreno Valley, CA 92553-3701 | 2009-03-17 |
| 1629213657 | Yahya Jaber Dental Corp | Clinic/Center | 12190 Perris Blvd Ste D, Moreno Valley, CA 92557-7422 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
Please comment or provide details below to improve the information on VALUE DENTAL CENTERS MORENO VALLEY CA - RJ HOUCHIN DENTAL PRACTICE INC.
| 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.