Organization Active NPI

Elie Professional Dental Corporation

Doing business as Valencia Dental Group

  • Dentist
  • Valencia, CA
National Provider Identifier
1093157042
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ELIE PROFESSIONAL DENTAL CORPORATION
Doing business as
Valencia Dental Group
Practice address
26938 The Old Rd
Valencia, CA 91381-0662
Phone
(661) 799-0886
Fax
(661) 799-2655
NPI assigned
Jul 18, 2013
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Arash Elie, DDS
Title
Owner Doctor
Phone
(661) 799-0886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

26938 The Old Rd
Valencia, CA 91381-0662

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 845-8890

Other names 1

  • Valencia Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elie Professional Dental Corporation2 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.

Locations

26938 The Old Rd
Valencia, CA 91381
Phone (619) 756-0401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1093157042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26938 THE OLD RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810662",
            "telephone_number": "661-799-0886",
            "fax_number": "661-799-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIE PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "ELIE",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "661-799-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valencia Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.