Mark Chevy S Ledesma DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

44006 Issued in CA

Legal business name

MARK CHEVY S LEDESMA DDS INC

Practice address

319 N Azusa Ave
W Covina, CA 91791

Phone

(626) 967-7727

Fax

(626) 967-7887

NPI assigned

Feb 13, 2007

Last updated

Dec 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Chevy S Ledesma, DDSNPI 1710245782

Title

Dentist President

Phone

(626) 967-7727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Mark Chevy S Ledesma, DDS

  • Dentist
  • W Covina, CA
  • NPI 1710245782
  NPD (past) Authorized official
• Nelda Lim Ledesma, D.D.S.

  • General Practice Dentistry
  • W Covina, CA
  • NPI 1649657388
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1548302748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N AZUSA AVE",
            "city": "W COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-967-7727",
            "fax_number": "626-967-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N AZUSA AVE",
            "city": "W COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-967-7727",
            "fax_number": "626-967-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK CHEVY S LEDESMA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "MARK CHEVY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "626-967-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9228801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hooshang Deah Farshidi, MD
• Gerald Vinuya Garcia, DMD
• Mark Chevy S Ledesma, DDS
• Nelda Lim Ledesma, D.D.S.
• May B Mok, CA
• Bill W Tang, M.D.

• Dentist in W Covina, CA
• Providers in W Covina, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.