Active NPI
Valinda Dental Office
- General Practice Dentistry
- La Puente, CA
National Provider Identifier
1174855845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417806 | Other | CA | DELTA DENTAL |
| 1325178 | Other | CA | CONCORDIA |
National Provider Directory
National Provider Directory- Tax ID family
- Latin Dental Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Panorama City, CA
- NPI 1457674616
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.