Soraya Acevedo DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SORAYA ACEVEDO DDS, INC.

Practice address

709 W. Beverly Blvd.
Ste 201
Montebello, CA 90640-3600

Phone

(323) 724-1010

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Lidya Soraya Acevedo, D.D.S.

Title

Dentist

Phone

(323) 724-1010

Specialties & licenses 1

Addresses

Tax ID family

Acevdo Dental Group2 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.

• Acevdo Dental Group

  • General Practice Dentistry
  • Montebello, CA
  • NPI 1073012332
  NPD tax ID

Practitioners 1

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

• Mario Alberto Perez Villagomez

  • Dentist
  • Montebello, CA
  • NPI 1447006770
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1013484237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W. BEVERLY BLVD.",
            "address_2": "STE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W. BEVERLY BLVD.",
            "address_2": "STE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403600",
            "telephone_number": "323-724-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORAYA ACEVEDO DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "LIDYA",
        "authorized_official_middle_name": "SORAYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-724-1010",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.