Active NPI
Elizabeth Iliuta, DDS
- Dentist
- Visalia, CA
National Provider Identifier
1336812403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106382
- Practice address
- 609 W Acequia Ave
Visalia, CA 93291-6165 - Phone
- (559) 625-2040
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106382 | CA | Primary |
Addresses
Primary practice location
609 W Acequia Ave
Visalia, CA 93291-6165
Mailing address
2177 N Linwood St
N/a
Visalia, CA 93291
Phone (559) 300-0258
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106382 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1336812403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 N LINWOOD ST",
"address_2": "N/A",
"city": "VISALIA",
"state": "CA",
"postal_code": "93291",
"telephone_number": "559-300-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 W ACEQUIA AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916165",
"telephone_number": "559-625-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIUTA",
"first_name": "ELIZABETH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.