Valadez Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALADEZ DENTAL CORP

Doing business as

Smile San Diego

Practice address

2650 Camino del Rio N Ste 102
San Diego, CA 92108-1630

Phone

(619) 298-0521

Fax

(619) 298-0661

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Cynthia Sweeney

Title

Manager

Phone

(858) 353-2038

Specialties & licenses 1

Addresses

Other names 1

• SMILE SAN DIEGO Doing business as

Locations

Practitioners 1

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

• Joseph R. Wisnieski Jr., DDS

  • Dentist
  • San Diego, CA
  • NPI 1124355292
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1194365015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081630",
            "telephone_number": "619-298-0521",
            "fax_number": "619-298-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081630",
            "telephone_number": "619-298-0521",
            "fax_number": "619-298-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALADEZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-353-2038"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE SAN DIEGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pardis Jonathan Vakili, DDS
• Sharmineh Vakili
• Shaghayegh Vakilian, DDS
• Siavosh Vakilian, MD
• Val Waian Family Therapy, Inc
• Agustin Valadez, LMFT
• Carlos J Valadez
• Jose Crisstian Valadez
• Valarie Valadez
• Dorothy Melissa Valcin, FNP-BC

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.