Organization Active NPI

Greg Ardary DDS a Professional Dental Corporation

  • Dentist
  • Temecula, CA
National Provider Identifier
1164953873
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64623 Issued in CA
Legal business name
GREG ARDARY DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
31821 Temecula Pkwy Ste C-7
Temecula, CA 92592-8201
Phone
(951) 302-3535
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Dr. Gregory Ardary, DDSNPI 1497121347
Title
President
Phone
(626) 290-6964

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 64623 CA Primary

Addresses

Primary practice location

31821 Temecula Pkwy Ste C-7
Temecula, CA 92592-8201

Mailing address

31821 Temecula Pkwy Ste C-7
Temecula, CA 92592-8201
Phone (951) 302-3535

National Provider Directory

National Provider Directory

Locations

31821 Temecula Pkwy
Ste C-7
Temecula, CA 92592
Phone (951) 302-3535

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": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1164953873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31821 TEMECULA PKWY STE C-7",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928201",
            "telephone_number": "951-302-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31821 TEMECULA PKWY STE C-7",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928201",
            "telephone_number": "951-302-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG ARDARY DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "ARDARY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-290-6964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "64623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.