Individual provider Active NPI

Priscilla Andressa Cury Rosa, DDS

  • Dentist
  • Anaheim, CA
National Provider Identifier
1306323324
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64691 Issued in CA
Practice address
2835 W Lincoln Ave
Anaheim, CA 92801-6212
Phone
(714) 650-9906
NPI assigned
Jul 23, 2018
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64691 CA Primary

Addresses

Primary practice location

2835 W Lincoln Ave
Anaheim, CA 92801-6212

Mailing address

2835 W Lincoln Ave
Anaheim, CA 92801-6212

Other practice location 1

2740 S Bristol St Ste 206
Santa Ana, CA 92704-6233
Phone (714) 557-0201

Other practice location 2

12833 Harbor Blvd # F-3
Garden Grove, CA 92840-5806
Phone (714) 534-9480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64691CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Priscilla Cury Rosa DDS a Dental Corporation CurrentSince Mar 29, 2020 Accepting new patients
H. Reyhani Dental Corporation PastSince Mar 30, 2025 Accepting new patients
Lucero Dental Clinic Past Accepting new patients
H. Reyhani Dental Corporation PastSince Mar 11, 2025 Accepting new patients

Locations

2835 W Lincoln Ave
Anaheim, CA 92801
Phone (714) 650-9906

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1306323324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016212",
            "telephone_number": "714-650-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 S Bristol St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927046233",
            "country_code": "US",
            "telephone_number": "714-557-0201",
            "fax_number": "714-557-0722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12833 Harbor Blvd # F-3",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928405806",
            "country_code": "US",
            "telephone_number": "714-534-9480",
            "fax_number": "714-534-9482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURY ROSA",
        "first_name": "PRISCILLA",
        "middle_name": "ANDRESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

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