Ivonne Vazquez DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

50392 Issued in CA

Legal business name

IVONNE VAZQUEZ DDS INC

Practice address

41653 Margarita Rd Ste 107
Temecula, CA 92591-3000

Phone

(951) 695-8711

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ivonne Vazquez, DDSNPI 1619086733

Title

Dentist

Phone

(951) 695-8711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Overland Dental Practice Doing business as

Locations

Practitioners 1

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

• Ivonne Vazquez, DDS

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1619086733
  NPD (past) Authorized official

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1548639768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41653 MARGARITA RD STE 107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913000",
            "telephone_number": "951-695-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41653 MARGARITA RD STE 107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913000",
            "telephone_number": "951-695-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVONNE VAZQUEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-695-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "161-908-6733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overland Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherean Ismail
• Reda Issa, M.D.
• Ryan Itoh, MD
• Sarah Iverson, PPS
• Christopher John Ivey, MPT,OCS
• Kamryn Izquierdo
• J Hernandez DDS Inc
• J. Hjelmstad Inc
• Alexandria Jackson
• Anita Cal Jackson, M.D.

• Dental Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.