BADII LEE DENTAL CORPORATION, INC (NPI# 1912268939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912268939 |
| Entity Type | Organization |
| Organization Name | BADII LEE DENTAL CORPORATION, INC |
| Other Organization Name | SMILE WIDE |
| Practice Address |
1109 W 17th St Santa Ana CA 92706-3505 |
| Practice Telephone | 7148352383 |
| Practice Fax Number | 7148353917 |
| Mailing Telephone | 7148352383 |
| Mailing Fax Number | 7148353917 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | DR. KIAVASH KEVIN BADII (DIRECTOR/OWNER) |
| Authorized Official Telephone | 9495485588 |
| Authorized Official Credential | DDS MDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| SMILE WIDE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134417603 | Badii Lee Dental Corporation, Inc | Dentist | 14370 Culver Dr Ste A, Irvine, CA 92604-0319 | 2011-07-18 |
| 1417286303 | Badii Lee Dental Corporation, Inc | Dentist | 22330 Hawthorne Blvd., Suite 2016, Torrance, CA 90505 | 2009-12-23 |
| 1548652688 | Badii Lee Dental Corporation, Inc | Dentist | 25733 Barton Rd, Loma Linda, CA 92354-3812 | 2015-02-26 |
| 1093131807 | Badii Lee Dental Corporation, Inc | Dentist | 1007 W La Palma Ave, Suite 2, Anaheim, CA 92801-3620 | 2014-03-17 |
| 1275875197 | Badii Lee Dental Corporation, Inc | Dentist | 777 Corporate Dr, Suite 210, Ladera Ranch, CA 92694-2135 | 2013-03-18 |
| 1285995209 | Badii Lee Dental Corporation, Inc | Dentist | 1801 Newport Blvd, Suite B, Costa Mesa, CA 92627-2701 | 2012-06-06 |
| 1710251764 | Badii Lee Dental Corporation, Inc | Dentist | 4980 Barranca Pkwy, Suite 101, Irvine, CA 92604-8645 | 2012-03-07 |
| 1902179658 | Badii Lee Dental Corporation, Inc | Dentist | 11351 183rd St, Cerritos, CA 90703-5434 | 2012-02-10 |
| Street Address |
1109 W 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477754901 | David M. Diaz, Dds | Dentist | 1109 W 17th St, Santa Ana, CA 92706-3505 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1588923452 | Badii Dental Inc. | Dentist | 1109 West 17th Street, Santa Ana, CA 92706 | 2012-05-11 |
| 1740467513 | Alexander Ross Alcaraz | Dentist | 999 N Tustin Ave, Suite 219, Santa Ana, CA 92705-3528 | 2008-01-23 |
| 1750505202 | Children's Dental Surgery Center, A Dental Practice of Drs. Lee and Mu | Dentist | 1610 W Edinger Ave, Suite C, Santa Ana, CA 92704-4339 | 2007-04-13 |
| 1528197175 | Lee and Hong Professional Dental Corporation | Dentist | 1610 W Edinger Ave, Suite C, Santa Ana, CA 92704-4339 | 2007-03-02 |
| 1871632745 | Scott Jacks, Dds, Inc | Dentist | 2144 S Bristol St, Santa Ana, CA 92704-5123 | 2007-02-06 |
| 1689733685 | Kent Nam Do | Dentist | 3500 S Bristol St, Suite 100, Santa Ana, CA 92704-7319 | 2006-12-06 |
| 1912947003 | Joseph Renzi Jr. | Dentist | 999 N Tustin Ave, Suite #219, Santa Ana, CA 92705-3528 | 2006-06-07 |
| 1730129818 | Karilyn Helene House | Dentist | 999 N Tustin Ave, 219, Santa Ana, CA 92705-3528 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 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.