SHADOWRIDGE AND POMERADO ORTHODONTICS
NPI 1770646317
Dentist - Orthodontics and Dentofacial Orthopedics in Vista, CA

Active since December 18, 2006
1950 SHADOWRIDGE DRIVE, SUITE A, VISTA, CA 92083(760) 598-1707(760) 598-2907 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shadowridge And Pomerado Orthodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADOWRIDGE AND POMERADO ORTHODONTICS (NPI 1770646317) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Vista, California and active in the NPI registry since December 2006. The organization lists Jerrold Alan Hennes, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1770646317
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameJERROLD A HENNES DDS MSD PC
Location Address1950 SHADOWRIDGE DRIVE, SUITE AVista, CA 92083
Mailing Address1950 Shadowridge Drive, Suite AVista, CA 92083 · (760) 598-1707 · Fax (760) 598-2907
Fax(760) 598-2907
Organization SubpartNo
Authorized OfficialJerrold Alan HennesOrthodontist · (760) 598-1707
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770646317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License✔ Licensed in CA · DI34494
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1950 SHADOWRIDGE DRIVE, Vista, CA 92083

Other Names 1

Doing Business AsShadowridge And Pomerado Orthodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrold A Hennes Dds Msd PC's NPI number?

The NPI number for Jerrold A Hennes Dds Msd PC is 1770646317. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Shadowridge And Pomerado Orthodontics.

Where is Jerrold A Hennes Dds Msd PC located?

Jerrold A Hennes Dds Msd PC is located at 1950 Shadowridge Drive Suite A, Vista, CA 92083. The listed phone number is (760) 598-1707.

What is Jerrold A Hennes Dds Msd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Jerrold A Hennes Dds Msd PC accept?

Health plans from UnitedHealthcare list Jerrold A Hennes Dds Msd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerrold A Hennes Dds Msd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.