Organization Active NPI

Palacios Dental Corporation

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1598083040
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55938 Issued in CA
Legal business name
PALACIOS DENTAL CORPORATION
Practice address
1125 E 17TH St
Ste. W121
Santa Ana, CA 92701-2201
Phone
(714) 558-7055
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Ana Ysabel Palacios, DDS
Title
President
Phone
(714) 558-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55938 CA Primary

Addresses

Primary practice location

1125 E 17TH St
Ste. W121
Santa Ana, CA 92701-2201

Mailing address

1125 E 17TH St
Ste. W121
Santa Ana, CA 92701-2201
Phone (714) 558-7055

National Provider Directory

National Provider Directory

Locations

1125 E 17th St
Ste W121
Santa Ana, CA 92701
Phone (714) 558-7055

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1598083040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "STE. W121",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-558-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "STE. W121",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-558-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACIOS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "YSABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-558-7055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.