In Nova Dental Management Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

002465 Issued in PR

Legal business name

IN NOVA DENTAL MANAGEMENT CORPORATION

Practice address

15 Street
I-4
Bayamon, PR 00957

Phone

(787) 617-7573

Fax

(787) 876-2422

NPI assigned

Apr 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Annette Sanchez, D.M.D.,M.P.H.G

Title

Ceo

Phone

(787) 617-7573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1386087161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMINO DE LOS ABADES, MANSION DEL NORTE",
            "address_2": "NC 28",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "000000949",
            "telephone_number": "787-617-7573",
            "fax_number": "787-876-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STREET",
            "address_2": "I-4",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-617-7573",
            "fax_number": "787-876-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN NOVA DENTAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-617-7573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,M.P.H.G"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "002465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.