Glenn Ong-Veloso a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLENN ONG-VELOSO A DENTAL CORPORATION

Doing business as

Aspen Dental Group, Inc.

Practice address

21007 Nemophilia St
Suite B
California City, CA 93505-1963

Phone

(760) 373-1950

Fax

(760) 373-0072

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Lanzar Ong-Veloso, D.D.S.

Title

Owner

Phone

(760) 373-1950

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Aspen Dental Group, Inc. Doing business as

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1215080452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21007 NEMOPHILIA ST",
            "address_2": "SUITE B",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935051963",
            "telephone_number": "760-373-1950",
            "fax_number": "760-373-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21007 NEMOPHILIA ST",
            "address_2": "SUITE B",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935051963",
            "telephone_number": "760-373-1950",
            "fax_number": "760-373-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN ONG-VELOSO A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ONG-VELOSO",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "LANZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-373-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "B44316-1",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G91712-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Michelle Edblad
• Sarah Ellen Fechner
• Timothy Francis Frazier Jr.
• Erika T Frieson, MSW
• Kalyn Jeannine Garcia
• Cenida Nohemi Gomez-Flores, RD
• Kishi Gonzales
• Diana Jeanette Gonzalez
• Guided Path Personal Support Services
• Miranda Tyson Harris

• General Practice Dentistry in California City, CA
• Providers in California City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.