Valley Ace Dental Group Joint

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

VALLEY ACE DENTAL GROUP JOINT

Practice address

8345 Reseda Blvd Ste 101
Northridge, CA 91324-4648

Phone

(818) 576-9990

Fax

(818) 576-9993

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Mindy Park, DDS

Title

General Dentist

Phone

(818) 576-9990

Specialties & licenses 2

Addresses

Other names 1

• Valley Ace Dental Group Doing business as

Locations

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1548540552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 RESEDA BLVD STE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244648",
            "telephone_number": "818-576-9990",
            "fax_number": "818-576-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ACE DENTAL GROUP JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "818-576-9990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54241",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Ace Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Denise Valera
• Valeri Home Health Inc
• Aimee Valle
• Elizabeth Valle
• Keziah Valles Torres
• Valley Anesthesia Physicians Medical Group, Inc
• Valley Glen Home Health Care Inc
• Valley Healthcare Inc.
• Valley Integrated Health Care Service
• Valley Physicians Surgery Center at Northridge LLC

• Oral and Maxillofacial Surgery Clinic/Center in Northridge, CA
• Providers in Northridge, 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 Oct 11, 2023; 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.