DR. DIEP KIM DANG (NPI# 1881764637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881764637 |
| Entity Type | Individual |
| Full Name | DR. DIEP KIM DANG |
| Credential | DDS |
| Practice Address |
210 Avenida Del Mar #b San Clemente CA 92672 |
| Practice Telephone | 9493669055 |
| Practice Fax Number | 9493662025 |
| Mailing Telephone | 9493669055 |
| Mailing Fax Number | 9493662025 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-08-26 |
| NPI Deactivation Date | 11/09/2006 |
| NPI Reactivation Date | 2006-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 37809 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | 83780901 | 01 |
| Street Address |
210 AVENIDA DEL MAR #B |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| 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 |
|---|---|---|---|---|
| 1609499979 | Jaesung Kim Dmd Inc | Dentist | 1520 N El Camino Real Ste 5, San Clemente, CA 92672-5957 | 2020-05-21 |
| 1194196675 | Sara Akbar | Dentist | 801 Avenida Talega Ste 105, San Clemente, CA 92673-6532 | 2015-10-09 |
| 1578985297 | Nina Basti Dds, Inc | Dentist | 150 Avenida Del Mar, Ste C, San Clemente, CA 92672-4010 | 2014-01-15 |
| 1205176468 | Dr Carla Bryan Dds | Dentist | 657 Camino De Los Mares Ste 138, San Clemente, CA 92673-2810 | 2013-02-26 |
| 1760796023 | Hossein Edalat | Dentist | 130 Avenida Cabrillo Ste B, San Clemente, CA 92672-5509 | 2010-07-28 |
| 1467606665 | Richard Steven Phillips | Dentist | 224 W Avenida Valencia, San Clemente, CA 92672-4242 | 2008-11-14 |
| 1497924146 | Dana Ghorab | Dentist | 801 Avenida Talega, Suite 105, San Clemente, CA 92673-6532 | 2008-02-27 |
| 1891902854 | Sharon Josianne Friend | Dentist | 1520 N. El Camino Real, Suite #5, San Clemente, CA 92672 | 2007-05-17 |
| 1447321716 | Erini Papandreas Redmond | Dentist | 181 Ave Vaquero, Suite A, San Clemente, CA 92672-3643 | 2006-11-10 |
| 1508952466 | Steven Joseph Edwards | Dentist | 1151 Puerta Del Sol, Suite A, San Clemente, CA 92673-6311 | 2006-10-05 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
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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.