WALLY BASHAWATY (NPI# 1780721621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780721621 |
| Entity Type | Individual |
| Full Name | WALLY BASHAWATY |
| Credential | DDS |
| Practice Address |
1501 Superior Ave Ste 306 Newport Beach CA 92663-3641 |
| Practice Telephone | 9496458222 |
| Practice Fax Number | 9496453111 |
| Mailing Telephone | 9496458222 |
| Mailing Fax Number | 9496453111 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 45429 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UNITED CONCORDIA PROVIDER | 831034 | 01 |
| Street Address |
1501 SUPERIOR AVE STE 306 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1801372586 | Jaclyn Alexandra Smrecek | Dentist | 1401 Avocado Ave Ste 806, Newport Beach, CA 92660-8706 | 2018-07-16 |
| 1952848186 | Eric Stice | Dentist | 220 Nata, Newport Beach, CA 92660-3542 | 2017-01-25 |
| 1720440936 | Yang Yang Yu | Dentist | 1419 Superior Ave Ste 6, Newport Beach, CA 92663-2723 | 2016-03-26 |
| 1558746388 | Kasra Sanjari | Dentist | 100 W Coast Hwy Unit R-203, Newport Beach, CA 92663-5677 | 2015-07-22 |
| 1649672197 | James Foord Stratton | Dentist | 315 Alvarado Pl, Newport Beach, CA 92661-1217 | 2014-09-16 |
| 1568891000 | George Weston Maddox II | Dentist | 320 Superior Ave Ste 100, Newport Beach, CA 92663-2740 | 2013-11-05 |
| 1184064180 | Bruce Kevin Cairns | Dentist | 2043 Westcliff Dr., Suite 216, Newport Beach, CA 92660-5510 | 2013-07-05 |
| 1700220894 | Sora Moon | Dentist | 20264 Estuary Ln., Newport Beach, CA 92660 | 2013-04-19 |
| 1386088656 | Charles Zahedi Dental Corporation | Dentist | 4221 Macarthur Blvd, Suite B3, Newport Beach, CA 92660 | 2013-04-17 |
| 1336454966 | Timothy Habib Barzegar | Dentist | 1401 Avocado Ave., Suite 701, Newport Beach, CA 92660 | 2010-08-06 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on WALLY BASHAWATY.
| 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.