Organization Active NPI

Mabel B Schneider-Utz D D S a Proffessional Corp.

  • General Practice Dentistry
  • La Puente, CA
National Provider Identifier
1023199775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37913 Issued in CA
Legal business name
MABEL B SCHNEIDER-UTZ D D S A PROFFESSIONAL CORP.
Practice address
864 N Hacienda Blvd
La Puente, CA 91744-2847
Phone
(626) 333-8166
Fax
(626) 333-9879
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mabel Beatriz Schneider-Utz, D D S
Title
Owner
Phone
(626) 333-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37913 CA Primary

Addresses

Primary practice location

864 N Hacienda Blvd
La Puente, CA 91744-2847

Mailing address

864 N Hacienda Blvd
La Puente, CA 91744-2847
Phone (626) 333-8166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023199775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442847",
            "telephone_number": "626-333-8166",
            "fax_number": "626-333-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442847",
            "telephone_number": "626-333-8166",
            "fax_number": "626-333-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEL B SCHNEIDER-UTZ D D S A PROFFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER-UTZ",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "BEATRIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-333-8166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D D S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • 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.