Organization Active NPI

Florabel F. Oliver-Badillo DMD, Inc.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1447767447
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49621 Issued in CA
Legal business name
FLORABEL F. OLIVER-BADILLO DMD, INC.
Practice address
10717 Camino Ruiz Ste 122
San Diego, CA 92126-2362
Phone
(858) 566-6099
NPI assigned
Dec 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Florabel F Oliver-Badillo, DMDNPI 1275639528
Title
President
Phone
(858) 566-6099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49621 CA Primary

Addresses

Primary practice location

10717 Camino Ruiz Ste 122
San Diego, CA 92126-2362

Mailing address

10717 Camino Ruiz Ste 122
San Diego, CA 92126-2362
Phone (858) 566-6099

National Provider Directory

National Provider Directory

Locations

10717 Camino Ruiz
Ste 122
San Diego, CA 92126
Phone (858) 566-6099

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1447767447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 CAMINO RUIZ STE 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262362",
            "telephone_number": "858-566-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 CAMINO RUIZ STE 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262362",
            "telephone_number": "858-566-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORABEL F. OLIVER-BADILLO DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "OLIVER-BADILLO",
        "authorized_official_first_name": "FLORABEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-566-6099",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.