Organization Active NPI

Javier Dentistry DDS Corp

  • Dentist
  • West Covina, CA
National Provider Identifier
1144775602
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JAVIER DENTISTRY DDS CORP
Practice address
266 S Glendora Ave
Unit a
West Covina, CA 91790-3042
Phone
(626) 653-9276
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Luis Javier Vigliarolo
Title
Owner
Phone
(626) 653-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

266 S Glendora Ave
Unit a
West Covina, CA 91790-3042

Mailing address

266 S Glendora Ave
Unit a
West Covina, CA 91790-3042
Phone (626) 653-9276

National Provider Directory

National Provider Directory
Tax ID family
Javier Dentistry DDS Corp2 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

266 S Glendora Ave
Ste A
West Covina, CA 91790
Phone (626) 598-3344

Practitioners & affiliated clinicians

Practitioners 1

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": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1144775602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S GLENDORA AVE",
            "address_2": "UNIT A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903042",
            "telephone_number": "626-653-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S GLENDORA AVE",
            "address_2": "UNIT A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903042",
            "telephone_number": "626-653-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER DENTISTRY DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "VIGLIAROLO",
        "authorized_official_first_name": "LUIS JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-653-9276"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.