Dental Office of Joel Henriod DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL OFFICE OF JOEL HENRIOD DDS INC

Practice address

17762 Beach Blvd Ste 210
Huntington Beach, CA 92647-6860

Phone

(714) 898-2517

NPI assigned

Aug 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Twyla M Pardon

Title

Regional Director

Phone

(714) 420-0952

Specialties & licenses 3

Addresses

Other names 1

• Beach City Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1073232997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 BEACH BLVD STE 210",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476860",
            "telephone_number": "714-898-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 BEACH BLVD STE 210",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476860",
            "telephone_number": "714-898-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICE OF JOEL HENRIOD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "PARDON",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "714-420-0952",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Joseph Dempsey
• Joella Denham
• Christopher R Dennis, MD
• Tshekedi Galen Dennis, MD
• Dental Associates of Huntington Beach
• Wanda Jeanette Dequardo, DNP, APRN, FNP-BC
• Negar Derakhshani
• David Deranian
• Derek K. Wangberg a Psychological Corporation
• Deric C Simmons

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.