Loni A Vallejo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7078 Issued in AZ

Practice address

2179 W 24TH St
Yuma, AZ 85364-6240

Phone

(928) 782-4707

Fax

(928) 782-2212

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vallejo Dental PLLC

  • General Practice Dentistry
  • Dewey, AZ
  • NPI 1033572128
  Authorized official Same address or phone

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1043362650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 E STATE ROUTE 69",
            "address_2": "STE A",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863274517",
            "telephone_number": "928-277-0142",
            "fax_number": "928-277-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646240",
            "telephone_number": "928-782-4707",
            "fax_number": "928-782-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "LONI",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Valencia
• Valenzuela Counseling and Ministry Services PLLC
• Nancy Valenzuela Rivera, LCSW
• Fabian Valenzuela
• Allison L Vallejo, PNP
• Valley Speech LLC
• Valor Health and Wellness LLC (Valor Consulting)
• Mary C Valtierra
• Mark Van Antwerp, M.D.
• Allie Paige Van Dyn Hoven, RBT

• General Practice Dentistry in Yuma, AZ
• Providers in Yuma, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.