NPIMap

Organization Active NPI

Elie Professional Dental Corporation

Doing business as Valencia

  • General Practice Dentistry
  • Valencia, CA
National Provider Identifier
1215022165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47470 Issued in CA
Legal business name
ELIE PROFESSIONAL DENTAL CORPORATION
Doing business as
Valencia
Practice address
24218 Valencia Blvd
Valencia, CA 91355-5391
Phone
(661) 288-0288
Fax
(661) 288-0288
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Arash Elie, DDS
Title
Owner DDS
Phone
(661) 288-0288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 47470 CA Primary

Addresses

Primary practice location

24218 Valencia Blvd
Valencia, CA 91355-5391

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • VALENCIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elie Professional Dental Corporation2 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

24218 Valencia Blvd
Valencia, CA 91355
Phone (661) 288-0288

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215022165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24218 VALENCIA BLVD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555391",
            "telephone_number": "661-288-0288",
            "fax_number": "661-288-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIE PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELIE",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "661-288-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALENCIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.