Adrian Acosta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37769 Issued in CA

Practice address

901 W Whittier Blvd
La Habra, CA 90631-3743

Phone

(562) 905-8338

Fax

(562) 905-3202

NPI assigned

Mar 25, 2006

Last updated

May 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adrian Acosta DDS,a Professional Dental Corporation

  • General Practice Dentistry
  • La Habra, CA
  • NPI 1679740864
  Authorized official Same address or phone
• Diane Boval DDS a Professional Dental Corp

  • General Practice Dentistry
  • Orange, CA
  • NPI 1386096899
  NPD (past)
• Diane Boval DDS a Professional Dental Corp

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1538609243
  NPD (past)
• Diane Boval DDS a Professional Dental Corp

  • General Practice Dentistry
  • Brea, CA
  • NPI 1801245790
  NPD (past)
• Diane Boval DDS a Professional Dental Corp

  dba Gold Coast Dental

  • General Practice Dentistry
  • La Habra, CA
  • NPI 1912508177
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1649230319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313743",
            "telephone_number": "562-905-8338",
            "fax_number": "562-905-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313743",
            "telephone_number": "562-905-8338",
            "fax_number": "562-905-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adrian Acosta DDS a Prof Dental Corp
• Adrian Acosta DDS,a Professional Dental Corporation

• General Practice Dentistry in La Habra, CA
• Providers in La Habra, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.