Acevedo Dental Corp

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ACEVEDO DENTAL CORP

Practice address

1857 E 4TH St
Ontario, CA 91764-2601

Phone

(323) 724-1010

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Myra Maltez

Title

Office Manager

Phone

(323) 724-1010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camilo Jose Morales Acevedo, DDS

  • Dentist
  • Montebello, CA
  • NPI 1023804200
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1497309306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642601",
            "telephone_number": "323-724-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACEVEDO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "MALTEZ",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-724-1010"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra G Aburto
• Academy Medical Equipment, Inc.
• Accentcare Health Management, Inc.
• Accuquest Hearing Centers LLC
• Ace Medical Transportation, LLC
• Melanie Acevedo
• Monique Acevedo
• Yasmin Acevedo
• Cristina Aceves
• Kazaria Ackerman

• Oral and Maxillofacial Surgery Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.