Organization Active NPI

Aldaz and Watanabe Dental Corporation

Doing business as Pacific Dental Group and Orthodontics

  • Dentist
  • Temecula, CA
National Provider Identifier
1265527196
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALDAZ AND WATANABE DENTAL CORPORATION
Doing business as
Pacific Dental Group and Orthodontics
Practice address
31754 Temecula Pkwy
Temecula, CA 92592-6814
Phone
(951) 694-5255
Fax
(951) 694-5103
NPI assigned
Oct 4, 2006
Last updated
May 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Judith A Aldaz, DDS
Title
Owner DDS
Phone
(951) 694-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

31754 Temecula Pkwy
Temecula, CA 92592-6814

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 845-8890

Other names 1

  • Pacific Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

31754 US Highway 79
Temecula, CA 92592
Phone (951) 694-5255

Practitioners & affiliated clinicians

Practitioners 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1265527196",
    "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": "714-845-8890",
            "fax_number": "714-845-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31754 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926814",
            "telephone_number": "951-694-5255",
            "fax_number": "951-694-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDAZ AND WATANABE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "ALDAZ",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "951-694-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.