Organization Active NPI

Ayala Arizmendi Dental Corporation

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1093266785
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61047 Issued in CA
Legal business name
AYALA ARIZMENDI DENTAL CORPORATION
Practice address
624 S Euclid St
Anaheim, CA 92802-1234
Phone
(714) 774-3000
Fax
(714) 776-9000
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. Marcela Dolores Ayala Arizmendi, D.D.SNPI 1346519782
Title
Dentist
Phone
(714) 774-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49794 CA
General Practice Dentistry 1223G0001X 61047 CA Primary

Addresses

Primary practice location

624 S Euclid St
Anaheim, CA 92802-1234

Mailing address

624 S Euclid St
Anaheim, CA 92802-1234
Phone (714) 774-3000

National Provider Directory

National Provider Directory

Locations

624 S Euclid St
Anaheim, CA 92802
Phone (714) 774-3000

Practitioners & affiliated clinicians

Practitioners 2

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1093266785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021234",
            "telephone_number": "714-774-3000",
            "fax_number": "714-776-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021234",
            "telephone_number": "714-774-3000",
            "fax_number": "714-776-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYALA ARIZMENDI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "AYALA ARIZMENDI",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-774-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49794",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.