Puente Hills Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

31027 Issued in CA

Legal business name

PUENTE HILLS DENTAL GROUP

Practice address

1850 S Azusa Ave Ste 202
Hacienda Heights, CA 91745-6853

Phone

(626) 854-9530

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By 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. Evangelos Rossopoulos, D.D.S.

Title

Owner

Phone

(626) 854-9530

Specialties & licenses 2

Addresses

Tax ID family

Lowe Rossopoulos DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lowe & Rossopoulos, D.D.S., Inc

  • Pediatric Dentistry
  • Corona, CA
  • NPI 1366684672
  NPD tax ID

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.

• Chris Chen, D.D.S.

  • General Practice Dentistry
  • Hacienda Heights, CA
  • NPI 1497933808
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1467642280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 202",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456853",
            "telephone_number": "626-854-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 202",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456853",
            "telephone_number": "626-854-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTE HILLS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "ROSSOPOULOS",
        "authorized_official_first_name": "EVANGELOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-854-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "31027",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "36605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Polanco
• Emmanuel F Popescu
• Daniel Prado
• Primacare Chiropractic Center, Edward Chu DC Inc.
• Pro Rehab Clinic Inc.
• Puente Hills Eye Care Center, Inc.
• Puente Hills Pharmacy
• Monica Pulido
• Trevor Tuan Quach
• Alyssa Marie Quezon

• Pediatric Dentistry in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.