Organization Active NPI

G.Olague, DDS & R. Deza DDS Apc

  • General Practice Dentistry
  • Murrieta, CA
National Provider Identifier
1609382605
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59467 Issued in CA
Legal business name
G.OLAGUE, DDS & R. DEZA DDS APC
Practice address
25359 Madison Ave Ste 105-106
Murrieta, CA 92562-9090
Phone
(805) 404-1451
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Dr. Gilberto Olague, DDS
Title
Dentist
Phone
(805) 404-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 59467 CA Primary

Addresses

Primary practice location

25359 Madison Ave Ste 105-106
Murrieta, CA 92562-9090

Mailing address

25359 Madison Ave Ste 105-106
Murrieta, CA 92562-9090
Phone (805) 404-1451

National Provider Directory

National Provider Directory

Locations

25359 Madison Ave
Ste 105106
Murrieta, CA 92562
Phone (805) 404-1451

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1609382605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25359 MADISON AVE STE 105-106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629090",
            "telephone_number": "805-404-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25359 MADISON AVE STE 105-106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629090",
            "telephone_number": "805-404-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.OLAGUE, DDS & R. DEZA DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "OLAGUE",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "805-404-1451",
        "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": "59467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.