NPIMap

Organization Active NPI

M.L,a. Mercado Dental Corporation

  • Dentist
  • Irvine, CA
National Provider Identifier
1639449036
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55872 Issued in CA
Legal business name
M.L,A. MERCADO DENTAL CORPORATION
Practice address
167 Las Palmas Dr
Irvine, CA 92602-2311
Phone
(714) 389-1479
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Maria Luisa Amante Mercado, DDS
Title
Dentist
Phone
(714) 389-1479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 55872 CA Primary

Addresses

Primary practice location

167 Las Palmas Dr
Irvine, CA 92602-2311

Mailing address

167 Las Palmas Dr
Irvine, CA 92602-2311
Phone (714) 389-1479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1639449036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LAS PALMAS DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022311",
            "telephone_number": "714-389-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 LAS PALMAS DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022311",
            "telephone_number": "714-389-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.L,A. MERCADO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "MARIA LUISA",
        "authorized_official_middle_name": "AMANTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-389-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.