Dr. Elena B Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DR. ELENA B DENTAL CORPORATION

Practice address

178 S Victoria Ave Ste C
Ventura, CA 93003-4369

Phone

(949) 572-5513

NPI assigned

Sep 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elena Bedilo, DMDNPI 1023413424

Title

President

Phone

(949) 572-5513

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elena Bedilo, DMD

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1023413424
  NPD Authorized official

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1568076560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EGRET LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S VICTORIA AVE STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034369",
            "telephone_number": "949-572-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELENA B DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "BEDILO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-572-5513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Doyle, LCSW
• Dr Anna Selena Cho Child and Family Therapist Inc
• Dr Brad Barrows Inc
• Dr Funnell Optometry Inc
• Dr. Carey B. Poultney, O.D., a Professional Optometric Corporation
• Dr. Jill Huang Psychological Services Inc
• Dr. Michelle Takase-Sanchez PC
• Dr. Nadia Emen, LLC
• Dr. Sally Pediatrics
• Dr. Terry L. Cole

• Pediatric Dentistry in Ventura, CA
• Providers in Ventura, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.