DR. TRACY PENE (NPI# 1912312596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912312596 |
| Entity Type | Individual |
| Full Name | DR. TRACY PENE |
| Credential | DDS |
| Practice Address |
18124 Culver Dr Ste H Irvine CA 92612-2729 |
| Practice Telephone | 9497331860 |
| Mailing Telephone | 9497331860 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 43901 | CA | Dental Providers |
| Street Address |
18124 CULVER DR STE H |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436396 | Irvine Physical Medicine & Rehabilitation A Medical Corporation | Chiropractor | 18124 Culver Dr, Suite F, Irvine, CA 92612-2729 | 2005-09-06 |
| 1841699923 | Alireza Nikroo | Chiropractor | 18124 Culver Dr, Suite F, Irvine, CA 92612-2729 | 2014-08-14 |
| 1023317427 | Lani Chang | Dentist | 18124 Culver Dr, Suite E, Irvine, CA 92612-2729 | 2011-03-24 |
| 1427201144 | David Eric Grant | Dentist | 18124 Culver Dr, Siute H, Irvine, CA 92612-2729 | 2008-10-25 |
| 1629227293 | Debra Lynne Confer | Physical Therapist | 18124 Culver Dr, Suite F, Irvine, CA 92612-2729 | 2008-09-18 |
| 1396924460 | Frank C Stone | Dentist | 18124 Culver Dr, Suite B, Irvine, CA 92612-2729 | 2007-10-25 |
| 1831284629 | Wayne Anthony Gouvion | Dentist | 18124 Culver Dr, Suite H, Irvine, CA 92612-2729 | 2006-10-04 |
| 1477652097 | Clara M Lee | Dentist | 18124 Culver Dr, Suite E, Irvine, CA 92612-2729 | 2006-09-21 |
| 1700870706 | Mark Wardenburg | Chiropractor | 18124 Culver Dr, Suite F, Irvine, CA 92612-2729 | 2005-09-06 |
| 1760476790 | Marysa Glabman | Physical Therapist | 18124 Culver Dr, Suite F, Irvine, CA 92612-2729 | 2005-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| 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 |
|---|---|---|---|---|
| 1568086882 | Sleep Better Orange County | Dentist | 14785 Jeffrey Rd Ste 112, Irvine, CA 92618-0410 | 2020-06-02 |
| 1982251682 | Seyedeh Hasti Borghei | Dentist | 19155 Norwood Ter, Irvine, CA 92603-3511 | 2019-08-19 |
| 1093375560 | Shadi Afkhamirad | Dentist | 5 Alexandria, Irvine, CA 92614-0205 | 2019-06-17 |
| 1952864514 | Muazz Zendaki | Dentist | 9950 Irvine Center Dr, Irvine, CA 92618-4357 | 2019-04-10 |
| 1972097947 | Hemmat, D.d.s. Inc. | Dentist | 34 Nature, Irvine, CA 92620-3828 | 2018-06-21 |
| 1134619315 | Yuting Yang | Dentist | 33 Creek Rd Ste C370, Irvine, CA 92604-4791 | 2018-05-14 |
| 1275036931 | Mansour Dental Corp | Dentist | 16 Ivanhoe, Irvine, CA 92602-2034 | 2018-03-08 |
| 1528573813 | Mahasti Tabib | Dentist | 401 Rockefeller Apt 1113, Irvine, CA 92612-7186 | 2017-12-08 |
| 1013432632 | Han Kim | Dentist | 133 Whispering Trl, Irvine, CA 92602-0800 | 2017-08-04 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| Find all providers in IRVINE | ||||
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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.