Dr. Lourdes S. Aquino Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50435 Issued in CA

Legal business name

DR. LOURDES S. AQUINO DENTAL CORP.

Practice address

14435 Sherman Way
Unit 107
Van Nuys, CA 91405-2331

Phone

(818) 785-7498

Fax

(818) 785-7789

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lourdes Santos AquinoNPI 1962550137

Title

Owner/ Dentist

Phone

(818) 785-7498

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lourdes Santos Aquino, DDS

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1962550137
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1669862371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY",
            "address_2": "UNIT 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052331",
            "telephone_number": "818-785-7498",
            "fax_number": "818-785-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY",
            "address_2": "UNIT 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052331",
            "telephone_number": "818-785-7498",
            "fax_number": "818-785-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LOURDES S. AQUINO DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "818-785-7498",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, 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 Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.