NPIMap

Organization Active NPI

Sunshinedentalgroupof Jorgeangel Villasenorddsdentalcorp

  • Dentist
  • El Monte, CA
National Provider Identifier
1457511388
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUNSHINEDENTALGROUPOF JORGEANGEL VILLASENORDDSDENTALCORP
Practice address
4161 Tyler Ave
El Monte, CA 91731-1966
Phone
(626) 579-4274
NPI assigned
Jun 13, 2008
Organization subpart
Yes
Parent organization
JORGE A VILLASENORAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Jorge A VillasenorNPI 1649295320
Title
Owner
Phone
(626) 579-4274

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

4161 Tyler Ave
El Monte, CA 91731-1966

Mailing address

4161 Tyler Ave
El Monte, CA 91731-1966
Phone (626) 579-4274

Other names 1

  • SUNSHINE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory
Part of
Sunshinedentalgroupof Jorgeangel Villasenorddsdentalcorp

Practitioners & affiliated clinicians

Practitioners 2

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": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1457511388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311966",
            "telephone_number": "626-579-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311966",
            "telephone_number": "626-579-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINEDENTALGROUPOF JORGEANGEL VILLASENORDDSDENTALCORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORGE A VILLASENOR",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-579-4274"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.