Active NPI
Shellaine Alonsagay-del Campo, DMD
- General Practice Dentistry
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45850
- Practice address
- 27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708 - Phone
- (949) 951-0951
- NPI assigned
- Mar 24, 2008
- Last updated
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45850 | CA | Primary |
Addresses
Primary practice location
27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708
Mailing address
27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708
Other names 1
- Shellaine Alonsagay Del Campo
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218001439 | CA | Practitioner - Oral Surgery | 9234437914 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45850 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shellaine a del Campo Ad Sedation & Implant Dentistry | Current | Accepting new patients | |
| Mikaeya Kalantari Dental Corporation | Past | Accepting new patients | |
| Zaery Kalantari Dental Group Inc | General Practice | Past | Accepting new patients |
Locations
113 Waterworks Way
Ste 220
Irvine, CA 92618
Phone (949) 418-7339
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ad Sedation & Implant Dentistry
- Oral and Maxillofacial Surgery (Dentist)
- Irvine, CA
- NPI 1689499204
-
dba Avalon Dentistry
- Dental Clinic/Center
- Mission Viiejo, CA
- NPI 1245477363
-
- Pediatric Dentistry
- Mission Viejo, CA
- NPI 1124509989
-
dba Sunshine Smiles of Orange County
- General Practice Dentistry
- Mission Viejo, CA
- NPI 1699202531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1477725034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27725 SANTA MARGARITA PKWY STE 270",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27725 SANTA MARGARITA PKWY STE 270",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916708",
"telephone_number": "949-951-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSAGAY-DEL CAMPO",
"first_name": "SHELLAINE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLAINE",
"last_name": "DEL CAMPO",
"middle_name": "ALONSAGAY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.