NPIMap

Organization Active NPI

Madera Family Dentistry

  • General Practice Dentistry
  • Madera, CA
National Provider Identifier
1477764256
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40331 Issued in CA
Legal business name
MADERA FAMILY DENTISTRY
Practice address
509 S I St
Suite D
Madera, CA 93637-4660
Phone
(559) 662-1410
Fax
(550) 662-1454
NPI assigned
May 24, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Armando Quiroz Anguiano, D.D.S.NPI 1326254400
Title
Owner
Phone
(559) 662-1410

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40331 CA Primary

Addresses

Primary practice location

509 S I St
Suite D
Madera, CA 93637-4660

Mailing address

509 S I St
Suite D
Madera, CA 93637-4660
Phone (559) 662-1410

Other identifiers 3

IdentifierTypeStateIssuer
B40331OtherCAPROVIDER#
515277OtherCAPROVIDER ID#
1326254400OtherCANATIONAL PROVIDER #

National Provider Directory

National Provider Directory

Locations

509 S I St
Ste D
Madera, CA 93637
Phone (559) 662-1410

Practitioners & affiliated clinicians

Practitioners 2

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1477764256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S I ST",
            "address_2": "SUITE D",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374660",
            "telephone_number": "559-662-1410",
            "fax_number": "550-662-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S I ST",
            "address_2": "SUITE D",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374660",
            "telephone_number": "559-662-1410",
            "fax_number": "550-662-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "ANGUIANO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "QUIROZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-662-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER#",
            "identifier": "B40331",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID#",
            "identifier": "515277",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER #",
            "identifier": "1326254400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

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