NPIMap

Organization Active NPI

Noemi Vicente, D.D.S., Inc.

  • General Practice Dentistry
  • Glendora, CA
National Provider Identifier
1306050455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NOEMI VICENTE, D.D.S., INC.
Practice address
750 W Route 66 Ste F
Glendora, CA 91740-4163
Phone
(626) 335-1862
NPI assigned
May 9, 2007
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. Noemi Severino VicenteNPI 1184764607
Title
Owner
Phone
(626) 335-1862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

750 W Route 66 Ste F
Glendora, CA 91740-4163

Mailing address

750 W Route 66 Ste F
Glendora, CA 91740-4163
Phone (626) 335-1862

National Provider Directory

National Provider Directory

Locations

750 W Route 66
Ste F
Glendora, CA 91740
Phone (626) 335-1862

Practitioners & affiliated clinicians

Practitioners 1

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306050455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W ROUTE 66 STE F",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404163",
            "telephone_number": "626-335-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W ROUTE 66 STE F",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404163",
            "telephone_number": "626-335-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEMI VICENTE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_middle_name": "SEVERINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-335-1862",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, 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.