Priyawat and Kim Dental Services
NPI 1801461561 · Oral and Maxillofacial Surgery Clinic/Center · Chino Hills, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyawat and Kim Dental Services is a Oral and Maxillofacial Surgery Clinic/Center organization in Chino Hills, CA (NPI 1801461561).
Provider details
- NPI number
- 1801461561
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carrick Bannatz, Office Manager(909) 497-9449
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Omnia Dental Care
- Doing business as
- Omnia Dental Care
Additional practice locations (1)
- 444 N Harbor Blvd Ste 240Fullerton, CA 92832-1968Phone: (714) 519-3601
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2023-08-22
- Certified
- 2021-06-30
Frequently asked questions
- What is Priyawat and Kim Dental Services's NPI number?
- Priyawat and Kim Dental Services's National Provider Identifier (NPI) is 1801461561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Priyawat and Kim Dental Services?
- Priyawat and Kim Dental Services is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Priyawat and Kim Dental Services located?
- Priyawat and Kim Dental Services's practice location on file with NPPES is 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709-5567.
- What is Priyawat and Kim Dental Services's phone number?
- The practice phone number listed in the NPPES registry for Priyawat and Kim Dental Services is (909) 497-9449.
- Does Priyawat and Kim Dental Services accept Medicare?
- Priyawat and Kim Dental Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Priyawat and Kim Dental Services?
- The authorized official listed on Priyawat and Kim Dental Services's NPPES record is Carrick Bannatz, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Priyawat and Kim Dental Services's NPI active?
- Yes — Priyawat and Kim Dental Services's NPI (1801461561) is active in the NPPES registry as of the last update on 2023-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.