DR. COURY STAADECKER (NPI# 1932258332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932258332 |
| Entity Type | Individual |
| Full Name | DR. COURY STAADECKER |
| Credential | D.D.S., M.S. |
| Practice Address |
405 Rockefeller 504 Irvine CA 92612-7188 |
| Mailing Address |
1441 Avocado Ave 405 Newport Beach CA 92660-7721 |
| Practice Telephone | 6196652705 |
| Mailing Telephone | 9496409475 |
| Mailing Fax Number | 9496402621 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
48025 | CA | Dental Providers |
| Street Address |
405 ROCKEFELLER 504 |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-7188 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1528477437 | Nooshin Ghayoumi Dds Inc | Dentist | 113 Waterworks Way Ste 255, Irvine, CA 92618-3169 | 2014-08-05 |
| 1073764908 | Mohamed Abdalla Hassan | Dentist | 107 Tinker, Irvine, CA 92618-0825 | 2008-10-09 |
| 1447409180 | Amir Mostaghni | Dentist | 70 Briarwood, Irvine, CA 92604-3753 | 2008-09-18 |
| 1013177625 | Saeid Malboubi | Dentist | 464 Monroe, Irvine, CA 92620-3656 | 2008-06-17 |
| 1225154248 | Yen-hui V Li | Dentist | 4200 Trabuco Rd Ste 130, Irvine, CA 92620-3622 | 2007-03-21 |
| 1649378126 | Cheng L Miao | Dentist | 3313 Spectrum, Irvine, CA 92618-3374 | 2006-09-20 |
| 1700800943 | Pilseong Kim | Dentist | 4760 Barranca Pkwy, Irvine, CA 92604-4727 | 2006-07-27 |
| 1811916398 | Todd E. Miller | Dentist | 16100 Sand Canyon Ave Ste 320, Irvine, CA 92618-3718 | 2006-07-18 |
| 1043278153 | Jae Woo Chung | Dentist | 27 Straw Flower, Irvine, CA 92620-1211 | 2006-05-01 |
| 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.