Nazareth Plaza Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

40848 Issued in CA

Legal business name

NAZARETH PLAZA DENTAL GROUP

Practice address

800 S B St Ste 200
San Mateo, CA 94401-4273

Phone

(650) 343-0884

Fax

(650) 375-0231

NPI assigned

Oct 17, 2013

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lerida Felizardo Lipumano-Picazo, D.M.D.NPI 1780899260

Title

Dentist/Owner

Phone

(650) 343-0884

Specialties & licenses 1

Addresses

Locations

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.

• Lerida Felizardo Lipumano-Picazo, DMD

  • Pediatric Dentistry
  • San Mateo, CA
  • NPI 1780899260
  Authorized official Same address or phone

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1417385006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S B ST STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014273",
            "telephone_number": "650-343-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S B ST STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014273",
            "telephone_number": "650-343-0884",
            "fax_number": "650-375-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH PLAZA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "LIPUMANO-PICAZO",
        "authorized_official_first_name": "LERIDA",
        "authorized_official_middle_name": "FELIZARDO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "650-343-0884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natural Way Health Center
• Daniel Nava
• Eduardo Christian Navarro Jr.
• Nazareth Dental
• Nazareth Park Place Inc
• Jeanette Garcia Neal
• Anoop Hanmanth Neboori, M.D.
• Ned M Grove MD a Professional
• Anna Nedelisky Zeman, PH.D.
• Daniel Neitz

• Dentist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.