NPIMap

Organization Active NPI

Hydo, Angelopoulos & Miller Dental Group

Doing business as Great Smiles Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Encinitas, CA
National Provider Identifier
1336429612
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HYDO, ANGELOPOULOS & MILLER DENTAL GROUP
Doing business as
Great Smiles Pediatric Dentistry & Orthodontics
Practice address
1200 Garden View Rd
Suite #102
Encinitas, CA 92024-2477
Phone
(760) 944-5115
Fax
(760) 944-5226
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Crystal L Angelopoulos, DMD
Title
Partner
Phone
(760) 944-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

1200 Garden View Rd
Suite #102
Encinitas, CA 92024-2477

Mailing address

1200 Garden View Rd
Suite #102
Encinitas, CA 92024-2477
Phone (760) 944-5115

Other names 1

  • Great Smiles Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Smiles Pediatric Dentistry Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Garden View Rd
Ste 102
Encinitas, CA 92024
Phone (760) 944-5115

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1336429612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GARDEN VIEW RD",
            "address_2": "SUITE #102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242477",
            "telephone_number": "760-944-5115",
            "fax_number": "760-944-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GARDEN VIEW RD",
            "address_2": "SUITE #102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242477",
            "telephone_number": "760-944-5115",
            "fax_number": "760-944-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDO, ANGELOPOULOS & MILLER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "ANGELOPOULOS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-944-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.