Poyourow Professional Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

POYOUROW PROFESSIONAL DENTAL CORPORATION

Practice address

1441 Avocado Ave Ste 406
Newport Beach, CA 92660-7705

Phone

(949) 760-1601

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Solomon Poyourow, DDS, MD, MPHNPI 1558537498

Title

Owner

Phone

(310) 279-0993

Specialties & licenses 1

Addresses

Other names 1

• Fashion Island Oral Surgery and Implants Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Solomon Louis Rikmar Poyourow, DDS, MD, MPH

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Los Angeles, CA
  • NPI 1558537498

  Oral and Maxillofacial Surgery

  NPD Authorized official
• Stefan Schneider, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Newport Beach, CA
  • NPI 1932647658

  Single Specialty

  NPD
• Lawrence P. Lorenzi, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Palm Desert, CA
  • NPI 1851474902
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1659964872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202655",
            "telephone_number": "310-279-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607705",
            "telephone_number": "949-760-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POYOUROW PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "POYOUROW",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-279-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fashion Island Oral Surgery and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy L. Poulalion, PTA
• Shabnam Pourhassani, L.AC.
• Payam Pourkashef, L.AC., DACM
• Douglas Lionel Powell Jr., MD
• Mark Power, M.A.
• John Poythress, PT
• Practical Solutions for Behavior an
• Sarin Prakobwanakit, M.D.
• John Prange, MFT
• Dean Pratt

• Oral and Maxillofacial Surgery (Dentist) in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.