Gloria D Bengo DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52344 Issued in CA

Legal business name

GLORIA D BENGO DDS INC.

Practice address

841 S Harbor Blvd
Anaheim, CA 92805-5157

Phone

(714) 999-9150

Fax

(714) 999-0580

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Dimerin Bengo

Title

Dentist

Phone

(714) 999-9150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Anthero Justin Bengo, DDS

  • Dentist
  • Anaheim, CA
  • NPI 1225896806
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1174752331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055157",
            "telephone_number": "714-999-9150",
            "fax_number": "714-999-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055157",
            "telephone_number": "714-999-9150",
            "fax_number": "714-999-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA D BENGO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BENGO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "DIMERIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-999-9150",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G89589-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Neal Glaser, MPT
• McKenna Glaser
• Igor Glazov
• Michael Patrick Gleeson, MD
• Global Monitoring, Inc
• Gloria Rodriguez
• GM Medline
• GN Acupuncture Inc
• Robert Yee Go, DDS
• Steven F Go, DDS

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Jul 9, 2009; 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.