Big Smile Dental Group, PC by Evangeline M. Memoracion D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

56995 Issued in CA

Legal business name

BIG SMILE DENTAL GROUP, PC BY EVANGELINE M. MEMORACION D.D.S.

Practice address

22429 Foothill Blvd
Hayward, CA 94541-4024

Phone

(408) 600-5722

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Evangeline Memoracion, D.D.S.

Title

Owner

Phone

(408) 600-5722

Specialties & licenses 1

Addresses

Other names 1

• Big Smile Dental Doing business as

Locations

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1154793206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22429 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414024",
            "telephone_number": "408-600-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22429 FOOTHILL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414024",
            "telephone_number": "408-600-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SMILE DENTAL GROUP, PC BY EVANGELINE M. MEMORACION D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MEMORACION",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-600-5722",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pooja Bhoopalam, PHARMD
• Davina Bhukhan
• Nikita Dharmesh Bhukhan
• Sanni Vee Biasca
• Afshin Bidgol, DMD
• Cameryn Biggers
• Tejasi Bilgi
• Caitlin Emma Billings
• Simon Bin, BA
• Shaquan Binder

• Dentist in Hayward, CA
• Providers in Hayward, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.