Edmundo Ayala, D.D.S a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50205 Issued in CA

Legal business name

EDMUNDO AYALA, D.D.S A DENTAL CORPORATION

Practice address

20109 Sherman Way
Winnetka, CA 91306-3206

Phone

(818) 993-4284

Fax

(818) 993-4265

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edmundo Jose Ayala, D.D.S.

Title

Ceo

Phone

(818) 993-4284

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edmundo Jose Ayala-Orantes, DDS

  • Dentist
  • Winnetka, CA
  • NPI 1437374873
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1346435666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20109 SHERMAN WAY",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063206",
            "telephone_number": "818-993-4284",
            "fax_number": "818-993-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20109 SHERMAN WAY",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063206",
            "telephone_number": "818-993-4284",
            "fax_number": "818-993-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUNDO AYALA, D.D.S A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-993-4284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Winnetka, CA
• Providers in Winnetka, 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 10, 2007; 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.