Consuelo M Nogoy DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

45942 Issued in CA

Legal business name

CONSUELO M NOGOY DDS INC

Doing business as

Zacoalco Dental Office

Practice address

1420 E Florence Avenue
Los Angeles, CA 90001

Phone

(323) 277-8110

Fax

(323) 277-8114

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Consuela Mesina Nogoy, DDS

Title

President

Phone

(323) 277-8110

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Zacoalco Dental Office Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Consuelo Mesina Nogoy, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1447367552
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003029737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E FLORENCE AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90001",
            "telephone_number": "323-277-8110",
            "fax_number": "323-277-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E FLORENCE AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90001",
            "telephone_number": "323-277-8110",
            "fax_number": "323-277-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUELO M NOGOY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOGOY",
        "authorized_official_first_name": "CONSUELA",
        "authorized_official_middle_name": "MESINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-277-8110",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "B4594202",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9336901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zacoalco Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.