Isabelita V Dabalus, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37093 Issued in CA

Practice address

4102 Orange Ave
Ste 120 Dabalus Saulog Family Dentistry Inc
Long BCH, CA 90807

Phone

(562) 989-9652

Fax

(562) 988-0445

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dabalus Saulog Dental Corporation

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1124231345
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366655599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 ORANGE AVE",
            "address_2": "STE 120",
            "city": "LONG BCH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-989-9652",
            "fax_number": "562-988-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 ORANGE AVE",
            "address_2": "STE 120 DABALUS SAULOG FAMILY DENTISTRY INC",
            "city": "LONG BCH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-989-9652",
            "fax_number": "562-988-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABALUS",
        "first_name": "ISABELITA",
        "middle_name": "V",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.