GUY W MENDIVIL, D.D.S. PROFESSIONAL DENTAL CORPORATION (NPI# 1902073307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902073307 |
| Entity Type | Organization |
| Organization Name | GUY W MENDIVIL, D.D.S. PROFESSIONAL DENTAL CORPORATION |
| Other Organization Name | TRI-CITY ORTHODONTICS |
| Practice Address |
3998 Vista Way Suite B Oceanside CA 92056 |
| Practice Telephone | 7609451420 |
| Practice Fax Number | 7609454692 |
| Mailing Telephone | 7609451420 |
| Mailing Fax Number | 7609454692 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | MR. GUY W MENDIVIL (OWNER) |
| Authorized Official Telephone | 7609454692 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D29737 | CA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL/DENTI-CAL | G93914-02 | 01 |
| CA | DENTI-CAL PROVIDER | G9391402 | 01 |
| Other Name | Type Code |
|---|---|
| Tri-City Orthodontics | Doing Business As Name - Organization |
| Street Address |
3998 VISTA WAY SUITE B |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| 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 |
|---|---|---|---|---|
| 1902451818 | Michael L Luther Dds Inc | Dentist | 3998 Vista Way Ste B, Oceanside, CA 92056-4514 | 2019-08-07 |
| 1346691607 | W. Michael Allen Dds., Ms. Inc | Dentist | 4110 Oceanside Blvd, Suite 102, Oceanside, CA 92056-6003 | 2016-06-28 |
| 1821412834 | Aimee Nguyen | Dentist | 3805 Mission Ave Ste A, Oceanside, CA 92058-1873 | 2014-02-11 |
| 1164603197 | Adam David Shatz | Dentist | 2882 Long Beach Rd, Oceanside, NY 11572-3114 | 2007-11-19 |
| 1508906736 | Michael David Minnich | Dentist | 713 Seagaze Dr, Oceanside, CA 92054-3006 | 2007-02-07 |
| 1184725186 | William Michael Allen | Dentist | 3230 Waring Court, Suite F, Oceanside, CA 92056 | 2006-09-25 |
| 1114901428 | Allison Ann Milliner | Dentist | 802 S Clementine St, Oceanside, CA 92054-4105 | 2005-11-30 |
| 1871148296 | B. Lewis D.d.s. | Dentist | 713 Seagaze Dr, Oceanside, CA 92054-3006 | 2019-08-02 |
| 1194235317 | K. Hoss, D.d.s., A Professional Corporation | Dentist | 3625 Vista Way, Oceanside, CA 92056-4522 | 2017-10-02 |
| 1134580939 | Michael D. Minnich, Dds, Ms, Inc | Dentist | 713 Seagaze Dr, Oceanside, CA 92054-3006 | 2016-03-08 |
| Find all providers in OCEANSIDE | ||||
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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.