WESTERN DENTAL SERVICES, INC (NPI# 1871883090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871883090 |
Entity Type | Organization |
Organization Name | WESTERN DENTAL SERVICES, INC |
Practice Address |
4242 Beverly Blvd Los Angeles CA 90004-4430 |
Mailing Address |
530 S Main St Orange CA 92868-4525 |
Practice Telephone | 7144803000 |
Mailing Telephone | 7144803000 |
Enumeration Date | 2011-04-08 |
Last Update Date | 2011-04-08 |
Authorized Official Name | SILVIA S DIAZ (PPO COORDINATOR) |
Authorized Official Telephone | 7144803000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | G92150- | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952727281 | Western Dental Services, Inc | Dentist | 2200 W Beverly Blvd Ste 400, Montebello, CA 90640-2302 | 2014-03-11 |
1235563495 | Western Dental Services, Inc | Dentist | 730 Woollomes Ave, Suite 101-102, Delano, CA 93215-9550 | 2013-08-23 |
1639467061 | Western Dental Services, Inc | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2011-07-19 |
1912298431 | Western Dental Services, Inc | Dentist | 1310 Churn Creek Rd, Suite E3 - E4, Redding, CA 96003-4004 | 2011-05-02 |
1295025898 | Western Dental Services, Inc | Dentist | 1110 S King Rd, Suite 60, San Jose, CA 95122-2118 | 2011-04-15 |
1205004124 | Western Dental Services, Inc | Dentist | 19071 Bear Valley Rd., Suite #1, Apple Valley, CA 92308-6709 | 2008-02-13 |
1811186463 | Western Dental Services, Inc | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2007-10-19 |
1154677763 | Western Dental Services, Inc | Dentist | 4100 S El Camino Real, San Mateo, CA 94403-5131 | 2012-08-01 |
1710266887 | Western Dental Services, Inc | Dentist | 1260 Trancas St, Napa, CA 94558-2910 | 2011-08-08 |
Street Address |
4242 BEVERLY BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90004-4430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497814214 | Emad Moawad | Dentist | 4242 Beverly Blvd, Los Angeles, CA 90004-4430 | 2006-12-07 |
1689908923 | Katerina Moawad | Dentist | 4242 Beverly Blvd, Los Angeles, CA 90004-4430 | 2009-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
Find all providers in zip 90004 |
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 |
---|---|---|---|---|
1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
1407487622 | Lenise N. Yarber D.d.s, Professional Dental Corporation | Dentist | 5035 W Slauson Ave Ste G, Los Angeles, CA 90056-1647 | 2020-01-27 |
1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
1114489820 | Dds Dental Corporation | Dentist | 140 S Robertson Blvd, Los Angeles, CA 90048-3208 | 2019-04-02 |
1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
1710466248 | Sue Vin Kim | Dentist | 1308 Orchard Ave, Los Angeles, CA 90006-4712 | 2018-08-06 |
1013401082 | Jonathan Shouhed Dds Inc | Dentist | 2320 S Robertson Blvd Ste 101, Los Angeles, CA 90034-2053 | 2018-06-21 |
1114419611 | Jonathan Beroukhim | Dentist | 1666 Thayer Ave Apt 202, Los Angeles, CA 90024-6056 | 2018-05-31 |
1922450121 | Chad Arthur, Dds, Ms, Inc | Dentist | 8540 S Sepulveda Blvd Ste 1115, Los Angeles, CA 90045-3828 | 2016-07-12 |
1669821633 | Peter B Lee | Dentist | 1111 S Grand Ave Apt 706, Los Angeles, CA 90015-2169 | 2016-06-09 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90004 |
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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.