Active NPI
Olga Yepes, D.D.S
- Exclusive Provider Organization
- Glendale, CA
National Provider Identifier
1609996909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 42453
- Legal business name
- OLGA YEPES, D.D.S
- Practice address
- 1217 S Central Ave
Glendale, CA 91204-2503 - Phone
- (818) 242-9595
- Fax
- (818) 242-9524
- NPI assigned
- Mar 30, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olga Yepes
- Title
- D.D.S.
- Phone
- (818) 242-9595
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 42453 | CA | Primary |
Addresses
Primary practice location
1217 S Central Ave
Glendale, CA 91204-2503
Mailing address
1217 S Central Ave
Glendale, CA 91204-2503
Phone (818) 242-9595
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Glendale, CA
- NPI 1083676837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609996909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042503",
"telephone_number": "818-242-9595",
"fax_number": "818-242-9524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042503",
"telephone_number": "818-242-9595",
"fax_number": "818-242-9524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLGA YEPES, D.D.S",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YEPES",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "D.D.S.",
"authorized_official_telephone_number": "818-242-9595",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "CA",
"license": "42453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.