NPIMap

Organization Active NPI

Glenn Ong-Veloso DDS Inc

  • Dentist
  • Apple Valley, CA
National Provider Identifier
1689056038
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44347 Issued in CA
Legal business name
GLENN ONG-VELOSO DDS INC
Practice address
16098 Kamana Rd
Apple Valley, CA 92307-1335
Phone
(760) 242-2620
Fax
(760) 242-4700
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Dr. Glenn Ong-Veloso, DDS
Title
Owner
Phone
(760) 242-2620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44347 CA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

16098 Kamana Rd
Apple Valley, CA 92307-1335

Mailing address

16098 Kamana Rd
Apple Valley, CA 92307-1335
Phone (760) 242-2620

Other names 1

  • Glenn Dental Doing business as

National Provider Directory

National Provider Directory

Locations

16098 Kamana Rd
Apple Valley, CA 92307
Phone (760) 242-2620

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1689056038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16098 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071335",
            "telephone_number": "760-242-2620",
            "fax_number": "760-242-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16098 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071335",
            "telephone_number": "760-242-2620",
            "fax_number": "760-242-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN ONG-VELOSO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "ONG-VELOSO",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-242-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44347",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenn Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.