NPIMap

Organization Active NPI

Maria Luisa C. Vales, D.M.D., Inc.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1336407410
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43262 Issued in CA
Legal business name
MARIA LUISA C. VALES, D.M.D., INC.
Practice address
88 E Bonita Rd Ste F
Chula Vista, CA 91910-3057
Phone
(619) 427-2646
Fax
(619) 427-2642
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Maria Luisa C. Vales, D.M.D.NPI 1295882330
Title
Dentist
Phone
(619) 427-2646

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 43262 CA Primary

Addresses

Primary practice location

88 E Bonita Rd Ste F
Chula Vista, CA 91910-3057

Mailing address

88 E Bonita Rd Ste F
Chula Vista, CA 91910-3057
Phone (619) 427-2646

Other identifiers 1

IdentifierTypeStateIssuer
B43262OtherCAHEALTH FAMILIES

Other names 1

  • Bonita Art of Aesthetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

88 E Bonita Rd
Ste F
Chula Vista, CA 91910
Phone (619) 427-2646

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": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1336407410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E BONITA RD STE F",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103057",
            "telephone_number": "619-427-2646",
            "fax_number": "619-427-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E BONITA RD STE F",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103057",
            "telephone_number": "619-427-2646",
            "fax_number": "619-427-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LUISA C. VALES, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "VALES",
        "authorized_official_first_name": "MARIA LUISA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-427-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FAMILIES",
            "identifier": "B43262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Art of Aesthetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.