Princesita Asuncion Billedo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43420 Issued in CA

Practice address

1755 S Mountain Ave
Ste a
Ontario, CA 91762-5972

Phone

(909) 460-7776

Fax

(909) 460-7677

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Princesita A Billedo Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Princesita a. Billedo D.D.S., Inc

  dba Mountain Dental Fitness Center

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1376722595
  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477675668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 S MOUNTAIN AVE",
            "address_2": "STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625972",
            "telephone_number": "909-460-7776",
            "fax_number": "909-460-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 S MOUNTAIN AVE",
            "address_2": "STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625972",
            "telephone_number": "909-460-7776",
            "fax_number": "909-460-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLEDO",
        "first_name": "PRINCESITA",
        "middle_name": "ASUNCION",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRINCESITA",
            "last_name": "BILLEDO",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Ontario, CA
• Providers in Ontario, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.