Resurreccion Medina Oliveria, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49622 Issued in CA

Practice address

1072A 3Rd Ave
Chula Vista, CA 91911-2009

Phone

(619) 425-5323

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Aileen Laban Arce Dental Corporation

  dba Naples Dental on Third Avenue

  • General Practice Dentistry
  • Chula Vista, CA
  • NPI 1861065245
  NPD (past)
• Maria Guadalupe Estrada-Guevara DDS,Inc.

  dba Naples Plaza Dental Practice

  • Dentist
  • Chula Vista, CA
  • NPI 1134250848
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417088113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RED GRANITE RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132854",
            "telephone_number": "619-656-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072A 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112009",
            "telephone_number": "619-425-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIA",
        "first_name": "RESURRECCION",
        "middle_name": "MEDINA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D49622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Olivares
• Aislinn Olivarria
• Kierra Oliver
• Lauren Ashley Oliver, NPSOUTH CAROLINA
• Taylor Oliver
• Opalyn P Olmedo, FNP-C
• David Gregory Olmen
• Eric James Olson, M.D.
• Jordan Olson
• Mark Jerome Olson

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, 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 Jul 9, 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.