Organization Active NPI

Xeres Desiree Pleyto DDS Inc.

Doing business as Irwindale Dental

  • General Practice Dentistry
  • Irwindale, CA
National Provider Identifier
1336452424
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55397 Issued in CA
Legal business name
XERES DESIREE PLEYTO DDS INC.
Doing business as
Irwindale Dental
Practice address
16029 Arrow Hwy
Suite E
Irwindale, CA 91706-2066
Phone
(626) 962-7200
Fax
(626) 962-7220
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Xeres Desiree Azaula Pleyto, DDSNPI 1891900221
Title
Dentist
Phone
(626) 962-7200

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 55397 CA Primary

Addresses

Primary practice location

16029 Arrow Hwy
Suite E
Irwindale, CA 91706-2066

Mailing address

16029 Arrow Hwy
Suite E
Irwindale, CA 91706-2066
Phone (626) 962-7200

Other names 1

  • IRWINDALE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

16029 Arrow Hwy
Ste E
Irwindale, CA 91706
Phone (626) 962-7200

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": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1336452424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16029 ARROW HWY",
            "address_2": "SUITE E",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917062066",
            "telephone_number": "626-962-7200",
            "fax_number": "626-962-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16029 ARROW HWY",
            "address_2": "SUITE E",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917062066",
            "telephone_number": "626-962-7200",
            "fax_number": "626-962-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XERES DESIREE PLEYTO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "PLEYTO",
        "authorized_official_first_name": "XERES DESIREE",
        "authorized_official_middle_name": "AZAULA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-962-7200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRWINDALE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irwindale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.