De Vela Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40572 Issued in CA

Legal business name

DE VELA DENTAL CORPORATION

Practice address

5300 Santa Monica Blvd
Suite 404
Los Angeles, CA 90029-1131

Phone

(323) 462-3305

Fax

(323) 462-3327

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Armaine De Vela, D.D.S.NPI 1700906385

Title

Dentist Ceo

Phone

(323) 462-3305

Specialties & licenses 1

Addresses

Other names 1

• DE VELA DENTAL GROUP, INC. Former legal business name

Locations

Practitioners 1

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

• Armaine De Vela, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1700906385
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144437898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "SUITE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-462-3305",
            "fax_number": "323-462-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "SUITE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-462-3305",
            "fax_number": "323-462-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE VELA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE VELA",
        "authorized_official_first_name": "ARMAINE",
        "authorized_official_title_or_position": "DENTIST CEO",
        "authorized_official_telephone_number": "323-462-3305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DE VELA DENTAL GROUP, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sheona Melanie De Silva
• Elaine Judith De Simone, RAS,CSC
• Bradley De Souza, MD
• Annabelle De St. Maurice, M.D.
• Andrea De Urioste, RBT
• Armaine De Vela, D.D.S.
• Dennis De Vera
• John De Vera, NP
• Nerilin De Vera
• Sheryl De Vera

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.