NPIMap

Organization Active NPI

Vivencio B. Abante, DDS, Inc.

  • Dental Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1588060214
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45223 Issued in CA
Legal business name
VIVENCIO B. ABANTE, DDS, INC.
Practice address
865 3Rd Ave
120
Chula Vista, CA 91911-1300
Phone
(619) 426-1130
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Vivencio Bunquin AbanteNPI 1336277748
Title
Dentist
Phone
(619) 426-1130

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
Dental Clinic/Center 261QD0000X 45223 CA Primary

Addresses

Primary practice location

865 3Rd Ave
120
Chula Vista, CA 91911-1300

Mailing address

865 3Rd Ave
120
Chula Vista, CA 91911-1300
Phone (619) 426-1130

National Provider Directory

National Provider Directory

Locations

865 Third Ave
Ste 120
Chula Vista, CA 91911
Phone (619) 426-1130

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1588060214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 3RD AVE",
            "address_2": "120",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111300",
            "telephone_number": "619-426-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 3RD AVE",
            "address_2": "120",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111300",
            "telephone_number": "619-426-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVENCIO B. ABANTE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "ABANTE",
        "authorized_official_first_name": "VIVENCIO",
        "authorized_official_middle_name": "BUNQUIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-426-1130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.