DR. RONALD CRAIG MADDOX (NPI# 1861697112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861697112 |
| Entity Type | Individual |
| Full Name | DR. RONALD CRAIG MADDOX |
| Credential | D.D.S. |
| Practice Address |
1111 W Covina Blvd Suite 110 San Dimas CA 91773-3205 |
| Mailing Address |
7 Scotia Sea Newport Coast CA 92657-2104 |
| Practice Telephone | 9093947710 |
| Practice Fax Number | 9093947703 |
| Mailing Telephone | 9496361911 |
| Mailing Fax Number | 9494979398 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
32353 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877480 | Ronald Ray Maddox | Pharmacist | 211 4th St, Alexandria, LA 71301-8421 | 2007-08-25 |
| 1881709483 | Ronald Lee Maddox | Dentist | 2623 Lauder Road, Houston, TX 77039-3119 | 2006-08-21 |
| Street Address |
1111 W COVINA BLVD SUITE 110 |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841248580 | Mohsen 'robin' F Abari | Dentist | 1111 W Covina Blvd, Suite 230, San Dimas, CA 91773-3205 | 2006-05-05 |
| 1255832697 | Mark Dennis Sandlin | Marriage & Family Therapist | 1111 W Covina Blvd, San Dimas, CA 91773-3205 | 2018-02-21 |
| 1396955209 | Mario Rene Aleman | Dentist | 1111 W Covina Blvd, Suite 240, San Dimas, CA 91773-3205 | 2007-05-23 |
| 1477612406 | Mohamed Ihsan Kayali | Dentist | 1111 W Covina Blvd, Suite 220, San Dimas, CA 91773-3205 | 2006-12-06 |
| 1093722704 | Mohammad Yasser Ascha | Dentist | 1111 W Covina Blvd, Suite 210, San Dimas, CA 91773 | 2006-08-02 |
| 1639109333 | Magdy S Sarieldin | Physical Therapist | 1111 W Covina Blvd, Suite 100, San Dimas, CA 91773-3205 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| 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 |
|---|---|---|---|---|
| 1518210772 | Gregory Ohanian | Dentist | 1111 W Covina Blvd Ste 230, San Dimas, CA 91773-3205 | 2012-10-24 |
| 1477855245 | Daniel Ruffolo | Dentist | 1575 Middleton Rd, San Dimas, CA 91773-3717 | 2010-11-29 |
| 1841248580 | Mohsen 'robin' F Abari | Dentist | 1111 W Covina Blvd, Suite 230, San Dimas, CA 91773-3205 | 2006-05-05 |
| 1508954702 | Marie Doulaverakis | Dentist | 923 W Arrow Hwy, San Dimas, CA 91773-2420 | 2006-10-11 |
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| 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 |
| 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.