Gutierrez, Vicencio, Dominguez DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D44176 Issued in CA

Legal business name

GUTIERREZ, VICENCIO, DOMINGUEZ DDS INC

Practice address

2112 N Main St
Suite # 100
Santa Ana, CA 92706-2739

Phone

(714) 835-6677

Fax

(714) 558-6892

NPI assigned

Sep 22, 2007

Organization subpart

No

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

Authorized official

Name

Martha L. Gutierrez, DDS

Title

President

Phone

(714) 835-6677

Specialties & licenses 1

Addresses

Other names 1

• Santa Ana Magic Smile Doing business as

Locations

Practitioners 1

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

• Oscar Pino, D.D.S

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1922304559
  NPD (past)

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190419200000",
    "number": "1386830438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N MAIN ST",
            "address_2": "SUITE # 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062739",
            "telephone_number": "714-835-6677",
            "fax_number": "714-558-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N MAIN ST",
            "address_2": "SUITE # 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062739",
            "telephone_number": "714-835-6677",
            "fax_number": "714-558-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTIERREZ, VICENCIO, DOMINGUEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2007-09-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-835-6677",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "D44176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Ana Magic Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karina Gutierrez
• Kimberly Gutierrez
• Kristal Gutierrez
• Liz Beth Gutierrez
• Mayra Gutierrez
• Zoe Veronica Gutierrez, MPT, PCS
• Kenneth W Guy, LVN
• Stephany Guzman Guevara
• Andy Guzman-Mendez Sr.
• Angelina Guzman

• Dental Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, 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 Sep 22, 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.