PN Dequiroz DDS Inc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

PN DEQUIROZ DDS INC

Doing business as

Central Coast Dental Implant Center

Practice address

2503 Professional Pkwy
Santa Maria, CA 93455-1657

Phone

(805) 934-4500

Fax

(805) 934-5263

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paraon Nolasco Dequiroz, DDSNPI 1801268883

Title

President

Phone

(760) 815-2835

Specialties & licenses 1

Addresses

Other names 1

• CENTRAL COAST DENTAL IMPLANT CENTER Doing business as

Practitioners 2

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.

• Paraon Nolasc Dequiroz, DDS

  • Dentist
  • Santa Maria, CA
  • NPI 1801268883
  Authorized official Same address or phone
• Clyde Steven Ikeda, D.D.S.

  • Dentist
  • Santa Maria, CA
  • NPI 1316093552
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1679057186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 PROFESSIONAL PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551657",
            "telephone_number": "805-934-4500",
            "fax_number": "805-934-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 PROFESSIONAL PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551657",
            "telephone_number": "805-934-4500",
            "fax_number": "805-934-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PN DEQUIROZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "DEQUIROZ",
        "authorized_official_first_name": "PARAON",
        "authorized_official_middle_name": "NOLASCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-815-2835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL COAST DENTAL IMPLANT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Alana Plan
• Planned Parenthood California Central Coast
• Planned Parenthood California Central Coast (Santa Maria Health Center)
• Briseyda M Platero
• Plaza Surgery Center L P
• Raul Poblano Alvarez, LCSW
• Cheryl Poirier
• Veronica Polyakova, DO
• Mark Ford Pomerantz, MD
• Shana Marie Pompa, M.S., MFT

• Oral and Maxillofacial Surgery Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.