NPIMap

Organization Active NPI

Epifania V Nicolas

Doing business as Nicolas Dental Corporation

  • Dentist
  • Anaheim, CA
National Provider Identifier
1417306382
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40290 Issued in CA
Legal business name
EPIFANIA V NICOLAS
Doing business as
Nicolas Dental Corporation
Practice address
1637 S Euclid St
Anaheim, CA 92802-2406
Phone
(714) 998-1222
Fax
(714) 998-1092
NPI assigned
Jun 10, 2016
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NICOLAS DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Dr. Epifania Viola Nicolas, D.D.S.NPI 1962661611
Title
President
Phone
(661) 845-2246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40290 CA Primary

Addresses

Primary practice location

1637 S Euclid St
Anaheim, CA 92802-2406

Mailing address

1637 S Euclid St
Anaheim, CA 92802-2406
Phone (714) 998-1222

Other names 1

  • Nicolas Dental Corporation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Epifania V Nicolas5 organizations share this tax ID, including this one
Part of
Epifania V Nicolas

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1637 S Euclid St
Anaheim, CA 92802
Phone (714) 906-9116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1417306382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-998-1222",
            "fax_number": "714-998-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-998-1222",
            "fax_number": "714-998-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIFANIA V NICOLAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICOLAS DENTAL CORPORATION",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "EPIFANIA",
        "authorized_official_middle_name": "VIOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-845-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicolas Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.