Organization Active NPI

Vigliarolo, D.D.S. Dental Corp

  • General Practice Dentistry
  • Ladera Ranch, CA
National Provider Identifier
1003283987
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59228 Issued in CA
Legal business name
VIGLIAROLO, D.D.S. DENTAL CORP
Practice address
600 Corporate Dr #220
Ladera Ranch, CA 92694
Phone
(949) 429-3944
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Luis Vigliarolo
Title
Owner
Phone
(949) 429-3944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 59228 CA Primary

Addresses

Primary practice location

600 Corporate Dr #220
Ladera Ranch, CA 92694

Mailing address

600 Corporate Dr #220
Ladera Ranch, CA 92694
Phone (949) 429-3944

National Provider Directory

National Provider Directory
Tax ID family
Javier Dentistry DDS Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1003283987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR #220",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-429-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR #220",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-429-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGLIAROLO, D.D.S. DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "VIGLIAROLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-429-3944"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.