Alcira Urrutia DDS Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

55679 Issued in CA

Legal business name

ALCIRA URRUTIA DDS PROFESSIONAL CORPORATION

Practice address

1160 N Maclay Ave
Suite # 107
San Fernando, CA 91340-5127

Phone

(818) 714-7714

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Alcira M Urrutia, D.D.S.NPI 1326236290

Title

Dentist/Owner

Phone

(818) 714-7714

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Alcira M Urrutia

  • Dentist
  • San Fernando, CA
  • NPI 1326236290
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1033485685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N MACLAY AVE",
            "address_2": "SUITE # 107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913405127",
            "telephone_number": "818-714-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N MACLAY AVE",
            "address_2": "SUITE # 107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913405127",
            "telephone_number": "818-714-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCIRA URRUTIA DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "URRUTIA",
        "authorized_official_first_name": "ALCIRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "818-714-7714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D55679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Akskalyan, DMD
• Mary Alaja
• Marisol Alaniz
• Eileen Alcala
• Rowena Reyes Alcantara-Fernandez, N.P.
• Elaine Alegria
• Alejandro Soria, Licensed Marriage and Family Therapist Corporation
• Aleksandr Dadashyan DDS Inc
• Alesna EMS
• Antonio Andrew Alfonso Jr., D.M.D.

• Dentist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.