NPIMap

Organization Active NPI

Dabalus Saulog Dental Corporation

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1124231345
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37093 Issued in CA
Legal business name
DABALUS SAULOG DENTAL CORPORATION
Practice address
4102 Orange Ave
Ste 120
Long Beach, CA 90807
Phone
(562) 989-9652
Fax
(562) 988-0445
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Zenaida Uy Saulog, DMDNPI 1114130341
Title
DMD Treasurer
Phone
(562) 989-9652

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 37093 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 39906 CA

Addresses

Primary practice location

4102 Orange Ave
Ste 120
Long Beach, CA 90807

Mailing address

4102 Orange Ave
Ste 120
Long Beach, CA 90807
Phone (562) 989-9652

National Provider Directory

National Provider Directory

Locations

4102 Orange Ave
Ste 120
Long Beach, CA 90807
Phone (562) 989-9652

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1124231345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 ORANGE AVE",
            "address_2": "STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-989-9652",
            "fax_number": "562-988-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 ORANGE AVE",
            "address_2": "STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-989-9652",
            "fax_number": "562-988-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABALUS SAULOG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "SAULOG",
        "authorized_official_first_name": "ZENAIDA",
        "authorized_official_middle_name": "UY",
        "authorized_official_title_or_position": "DMD TREASURER",
        "authorized_official_telephone_number": "562-989-9652",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37093",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.