NPIMap

Organization Active NPI

Hydo, Angelopoulos & Miller Dental Group

Doing business as Great Smiles Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Solana Beach, CA
National Provider Identifier
1457683880
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HYDO, ANGELOPOULOS & MILLER DENTAL GROUP
Doing business as
Great Smiles Pediatric Dentistry & Orthodontics
Practice address
530 Lomas Santa Fe Dr
Suite H
Solana Beach, CA 92075-1349
Phone
(858) 755-4223
Fax
(858) 755-3976
NPI assigned
Feb 10, 2010
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Crystal L Angelopoulos, DMDNPI 1982714788
Title
Partner
Phone
(858) 755-4223

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
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

530 Lomas Santa Fe Dr
Suite H
Solana Beach, CA 92075-1349

Mailing address

530 Lomas Santa Fe Dr
Suite H
Solana Beach, CA 92075-1349
Phone (858) 755-4223

Other names 1

  • Great Smiles Pediatric Dentistry & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Smiles Pediatric Dentistry Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

530 Lomas Santa Fe Dr
Ste H
Solana Beach, CA 92075
Phone (858) 755-4223

Practitioners & affiliated clinicians

Practitioners 4

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1457683880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR",
            "address_2": "SUITE H",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751349",
            "telephone_number": "858-755-4223",
            "fax_number": "858-755-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR",
            "address_2": "SUITE H",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751349",
            "telephone_number": "858-755-4223",
            "fax_number": "858-755-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDO, ANGELOPOULOS & MILLER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "ANGELOPOULOS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "858-755-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.