Dora Elena Gallego DDS a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DORA ELENA GALLEGO DDS A PROFESSIONAL DENTAL CORPORATION

Practice address

12321 Oak Knoll Rd
Poway, CA 92064-5319

Phone

(201) 919-8061

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dora Elena Gallego, DDSNPI 1164660379

Title

Dentist

Phone

(858) 206-5938

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dora Elena Gallego

  • Dentist
  • Poway, CA
  • NPI 1164660379
  NPD Authorized official
• Nazareth Bedoya Gallego

  • General Practice Dentistry
  • Poway, CA
  • NPI 1447906458
  NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1356936173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12321 OAK KNOLL RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645319",
            "telephone_number": "201-919-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12321 OAK KNOLL RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645319",
            "telephone_number": "201-919-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORA ELENA GALLEGO DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-206-5938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dis Aquisition Corp
• Jordan Dixon
• Dna, Integrated Health,Inc.
• Donald J. Janiuk O.D.
• Paige Donaldson
• Doss Chiropractic Inc
• Richard Marvin Doss, DC
• Delaney Dotson
• Maeghan Doucette
• Kathy-Ann Dougan

• Dental Clinic/Center in Poway, CA
• Providers in Poway, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.