Organization Active NPI

Shellaine Alonsagay- del Campo

Doing business as Avalon Dentistry

  • Dental Clinic/Center
  • Mission Viiejo, CA
National Provider Identifier
1245477363
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45850 Issued in CA
Legal business name
SHELLAINE ALONSAGAY- DEL CAMPO
Doing business as
Avalon Dentistry
Practice address
27725 Sta. Margarita Parkway
Ste 270
Mission Viiejo, CA 92691-6708
Phone
(949) 951-0951
Fax
(949) 951-0962
NPI assigned
Jan 12, 2009
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Dr. Shellaine Alonsagay- del Campo, DMDNPI 1477725034
Title
President
Phone
(949) 951-0951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 45850 CA Primary

Addresses

Primary practice location

27725 Sta. Margarita Parkway
Ste 270
Mission Viiejo, CA 92691-6708

Mailing address

27725 Sta. Margarita Parkway
Ste 270
Mission Viiejo, CA 92691-6708
Phone (949) 951-0951

Other names 1

  • Avalon Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1245477363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 STA. MARGARITA PARKWAY",
            "address_2": "STE 270",
            "city": "MISSION VIIEJO",
            "state": "CA",
            "postal_code": "926916708",
            "telephone_number": "949-951-0951",
            "fax_number": "949-951-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 STA. MARGARITA PARKWAY",
            "address_2": "STE 270",
            "city": "MISSION VIIEJO",
            "state": "CA",
            "postal_code": "926916708",
            "telephone_number": "949-951-0951",
            "fax_number": "949-951-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLAINE ALONSAGAY- DEL CAMPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "ALONSAGAY- DEL CAMPO",
        "authorized_official_first_name": "SHELLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-951-0951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.