Organization Active NPI

Albelais Dental Corporation

  • Preferred Provider Organization
  • Alhambra, CA
National Provider Identifier
1164847729
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
23881 Issued in CA
Legal business name
ALBELAIS DENTAL CORPORATION
Practice address
1037 S Garfield Ave
Alhambra, CA 91801-4710
Phone
(626) 281-1880
Fax
(626) 281-2782
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Dr. Austreberto Boido Albelais, D.D.S.NPI 1528377355
Title
Dentist
Phone
(626) 281-1880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 23881 CA Primary

Addresses

Primary practice location

1037 S Garfield Ave
Alhambra, CA 91801-4710

Mailing address

1037 S Garfield Ave
Alhambra, CA 91801-4710
Phone (626) 281-1880

National Provider Directory

National Provider Directory

Locations

1037 S Garfield Ave
Alhambra, CA 91801
Phone (626) 281-1880

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1164847729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 S GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014710",
            "telephone_number": "626-281-1880",
            "fax_number": "626-281-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014710",
            "telephone_number": "626-281-1880",
            "fax_number": "626-281-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBELAIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "ALBELAIS",
        "authorized_official_first_name": "AUSTREBERTO",
        "authorized_official_middle_name": "BOIDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-281-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "23881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.