DR. BART R BOULTON (NPI# 1902936131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902936131 |
| Entity Type | Individual |
| Full Name | DR. BART R BOULTON |
| Credential | DDS |
| Practice Address |
6081 Orange Ave Suite 1 Cypress CA 90630-3378 |
| Practice Telephone | 7148266770 |
| Practice Fax Number | 7148266910 |
| Mailing Telephone | 7148266770 |
| Mailing Fax Number | 7148266910 |
| Enumeration Date | 2007-03-06 |
| 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 |
50041 | CA | Dental Providers |
| Street Address |
6081 ORANGE AVE SUITE 1 |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-3378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997882 | Selene Monique Bustamante | Assistant Behavior Analyst | 10202 Aurelia Ave, Cypress, CA 90630 | 2020-03-18 |
| 1063068872 | Harriet Lang | Technician | 10717 Thomas Circle, Cypress, CA 90630 | 2019-08-16 |
| 1831756527 | Faye Uy Dds, A Professional Corporation | Dentist | 9521 Valley View St, Cypress, CA 90630 | 2019-05-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1770007643 | Cory Glen Lovelace | Physical Therapist | 6452 Cantiles Ave, Cypress, CA 90630 | 2017-08-01 |
| 1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
| 1073922969 | Sungsim Hwang | Acupuncturist | 9091 Holder St #120, Cypress, CA 90630 | 2014-08-05 |
| 1821429499 | David Kim Endo Dmd Inc | Dentist | 9242 Walker St. Unit C, Cypress, CA 90630 | 2013-12-09 |
| 1235474941 | Arlen Grajeda | Marriage & Family Therapist | 5712 Campt St, Cypress, CA 90630 | 2012-12-06 |
| 1083968697 | Byungheon Moon | Acupuncturist | 5241 Lincoln Ave. Ste C1, Cypress, CA 90630 | 2012-11-05 |
| Find all providers in zip 90630 | ||||
| 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 |
|---|---|---|---|---|
| 1598252405 | Marian Chen Mccarty | Dentist | 10120 Greenhouse Rd, Cypress, TX 77433-4981 | 2018-04-16 |
| 1053767400 | Ava Orthodontics Cypress, Pllc | Dentist | 9822 Fry Rd., Suite #130, Cypress, TX 77433 | 2016-05-04 |
| 1063530772 | James Edward Martinez | Dentist | 12440 Grant Rd, Cypress, TX 77429-2419 | 2007-03-27 |
| 1629136957 | Daniel Loc Le | Dentist | 14315 Cypress Rosehill Rd., Suite 100, Cypress, TX 77429 | 2006-12-06 |
| 1740366582 | Network Provider Associates, P.C. | Dentist | 15040 Fairfield Village Drive, Suite 240, Cypress, TX 77433-5952 | 2006-10-27 |
| 1336238823 | Erik Leroy Southers | Dentist | 5001 Cerritos Ave, Suite B, Cypress, CA 90630-4570 | 2006-10-12 |
| 1255449864 | Michael Hagan | Dentist | 21208 Northwest Freeway, 110, Cypress, TX 77429 | 2006-08-25 |
| 1992363709 | Mccarty Orthodontics, PC | Dentist | 10120 Greenhouse Rd, Cypress, TX 77433-7770 | 2019-06-05 |
| 1194292094 | Trung X Trinh Dmd LLC | Dentist | 7014 Fry Rd Ste 108, Cypress, TX 77433-4407 | 2018-10-29 |
| 1679889125 | Benjamin Creed | Dentist | 26281 Northwest Fwy, Suite 900, Cypress, TX 77429-7802 | 2010-08-22 |
| Find all providers in CYPRESS | ||||
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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.