NPIMap

Organization Active NPI

Nonato H. Elazegui DDS Dental Corp.

  • General Practice Dentistry
  • Orosi, CA
National Provider Identifier
1558417360
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39956 Issued in CA
Legal business name
NONATO H. ELAZEGUI DDS DENTAL CORP.
Practice address
12384 Avenue 416
Suite Ab
Orosi, CA 93647-9463
Phone
(559) 528-2244
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Nonato Elazegui, DDSNPI 1205989589
Title
President
Phone
(558) 528-2244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39956 CA Primary

Addresses

Primary practice location

12384 Avenue 416
Suite Ab
Orosi, CA 93647-9463

Mailing address

12384 Avenue 416
Suite Ab
Orosi, CA 93647-9463
Phone (559) 528-2244

National Provider Directory

National Provider Directory

Locations

12384 Avenue 416
Ste Ab
Orosi, CA 93647
Phone (559) 528-2244

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1558417360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12384 AVENUE 416",
            "address_2": "SUITE AB",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936479463",
            "telephone_number": "559-528-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12384 AVENUE 416",
            "address_2": "SUITE AB",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936479463",
            "telephone_number": "559-528-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONATO H. ELAZEGUI DDS DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "ELAZEGUI",
        "authorized_official_first_name": "NONATO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "558-528-2244",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orosi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.