Roland Llorente Elazegui, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37653 Issued in CA

Practice address

1156 Jacklin Rd
Milpitas, CA 95035

Phone

(408) 719-8295

Fax

(408) 719-8297

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1336281906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 JACKLIN RD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353700",
            "telephone_number": "408-719-8295",
            "fax_number": "408-719-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 JACKLIN RD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "95035",
            "telephone_number": "408-719-8295",
            "fax_number": "408-719-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAZEGUI",
        "first_name": "ROLAND",
        "middle_name": "LLORENTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Banes Edquilang, MD
• Edward a. Lynn, D.D.S., P.C.
• Tracy Efe
• Eichhorst Chiropractic Corporation (Grace Chiropractic)
• Kevin R Eichhorst, D.C.
• Vanessa Kristine Elizarrey
• Audrey Robin Ellis, MD
• Salsabyl Elnadi
• Jacqueline Asuncion Elshire, NP
• Christopher Gaddi Enriquez, DPM

• General Practice Dentistry in Milpitas, CA
• Providers in Milpitas, 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 Sep 16, 2015; 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.