NPIMap

Organization Active NPI

Synergy Dental Management, Inc

  • Dental Clinic/Center
  • El Monte, CA
National Provider Identifier
1487066890
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SYNERGY DENTAL MANAGEMENT, INC
Practice address
3229 Santa Anita Ave
#B
El Monte, CA 91733-1359
Phone
(626) 800-7235
Fax
(626) 789-0288
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Mr. Christopher Macias
Title
Owner
Phone
(626) 800-7235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CA Primary

Addresses

Primary practice location

3229 Santa Anita Ave
#B
El Monte, CA 91733-1359

Mailing address

3229 Santa Anita Ave
#B
El Monte, CA 91733-1359
Phone (626) 800-7235

Other names 1

  • Rejuvenating Smiles Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3229 Santa Anita Ave
#B
El Monte, CA 91733
Phone (626) 800-7235

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1487066890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 SANTA ANITA AVE",
            "address_2": "#B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917331359",
            "telephone_number": "626-800-7235",
            "fax_number": "626-789-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 SANTA ANITA AVE",
            "address_2": "#B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917331359",
            "telephone_number": "626-800-7235",
            "fax_number": "626-789-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DENTAL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-800-7235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenating Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.