NPIMap

Organization Active NPI

Epifania V Nicolas DDS Inc.

  • Dentist
  • Anaheim, CA
National Provider Identifier
1194986562
Registry record updated Apr 5, 2016
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40290 Issued in CA
Legal business name
EPIFANIA V NICOLAS DDS INC.
Practice address
1637 S Euclid St
Anaheim, CA 92802-2406
Phone
(714) 906-9116
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Epifania Viola Nicolas, DDS
Title
Owner
Phone
(714) 906-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 40290 CA Primary

Addresses

Primary practice location

1637 S Euclid St
Anaheim, CA 92802-2406

Mailing address

1637 S Euclid St
Anaheim, CA 92802-2406
Phone (714) 906-9116

National Provider Directory

National Provider Directory

Locations

1637 S Euclid St
Anaheim, CA 92802
Phone (714) 906-9116

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1194986562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-906-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-906-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIFANIA V NICOLAS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "EPIFANIA",
        "authorized_official_middle_name": "VIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-906-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.