Organization Active NPI

Valinda Dental Office

  • General Practice Dentistry
  • La Puente, CA
National Provider Identifier
1174855845
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VALINDA DENTAL OFFICE
Practice address
1447 N. Valinda Av.
Ste. F
La Puente, CA 91774
Phone
(626) 918-8889
Fax
(626) 919-6159
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Steven Dale Young Sr., DDS
Title
Owner
Phone
(626) 918-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1447 N. Valinda Av.
Ste. F
La Puente, CA 91774

Mailing address

1447 N. Valinda Av.
Ste. F
La Puente, CA 91774
Phone (626) 918-8889

Other identifiers 2

IdentifierTypeStateIssuer
417806OtherCADELTA DENTAL
1325178OtherCACONCORDIA

National Provider Directory

National Provider Directory
Tax ID family
Latin Dental Group2 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

1447 Valinda Ave
Ste F
La Puente, CA 91744
Phone (626) 918-8889

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1174855845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N. VALINDA AV.",
            "address_2": "STE. F",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91774",
            "telephone_number": "626-918-8889",
            "fax_number": "626-919-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N. VALINDA AV.",
            "address_2": "STE. F",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91774",
            "telephone_number": "626-918-8889",
            "fax_number": "626-919-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALINDA DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-918-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "417806",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCORDIA",
            "identifier": "1325178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.