NPIMap

Organization Active NPI

Nedeltchev Dental Corporation

  • Dental Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1689825796
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEDELTCHEV DENTAL CORPORATION
Doing business as
Mercy plaza Dental Group
Practice address
500 Old River Rd Ste 225
Bakersfield, CA 93311-9508
Phone
(661) 663-0109
Fax
(661) 663-9810
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Dr. Kamen Ivanov Nedeltchev, DDS
Title
President
Phone
(661) 663-0109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

500 Old River Rd Ste 225
Bakersfield, CA 93311-9508

Mailing address

500 Old River Rd Ste 225
Bakersfield, CA 93311-9508
Phone (661) 663-0109

Other names 1

  • Mercy plaza Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Plaza Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1689825796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD STE 225",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119508",
            "telephone_number": "661-663-0109",
            "fax_number": "661-663-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD STE 225",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119508",
            "telephone_number": "661-663-0109",
            "fax_number": "661-663-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDELTCHEV DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "NEDELTCHEV",
        "authorized_official_first_name": "KAMEN",
        "authorized_official_middle_name": "IVANOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-663-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.