NPIMap

Organization Active NPI

Hydo, Angelopoulos & Miller Dental Group

  • Pediatric Dentistry
  • Carlsbad, CA
National Provider Identifier
1053798157
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
52708 Issued in CA
Legal business name
HYDO, ANGELOPOULOS & MILLER DENTAL GROUP
Doing business as
Great Smiles Pediatric Dentistry & Orthodontics
Practice address
6010 Hidden Valley Rd
Suite #100
Carlsbad, CA 92011-4213
Phone
(760) 944-5115
Fax
(760) 944-5226
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Dr. Crystal L Angelopoulos, DMD
Title
Partner
Phone
(760) 944-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 52708 CA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 41735 CA

Addresses

Primary practice location

6010 Hidden Valley Rd
Suite #100
Carlsbad, CA 92011-4213

Mailing address

6010 Hidden Valley Rd
Suite #100
Carlsbad, CA 92011-4213
Phone (760) 944-5115

Other names 1

  • Great Smiles Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Smiles Pediatric Dentistry Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1053798157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD",
            "address_2": "SUITE #100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114213",
            "telephone_number": "760-944-5115",
            "fax_number": "760-944-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD",
            "address_2": "SUITE #100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114213",
            "telephone_number": "760-944-5115",
            "fax_number": "760-944-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDO, ANGELOPOULOS & MILLER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "ANGELOPOULOS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-944-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "52708",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.