Eliseo Ernesto Valladares Lazo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61066 Issued in CA

Practice address

17240 Downey Ave.
Bellflower, CA 90706

Phone

(502) 531-1262

Fax

(562) 531-0221

NPI assigned

Nov 18, 2011

Last updated

Jul 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Community Dental Services

  dba SmileCare Dental Group

  • Dentist
  • Bellflower, CA
  • NPI 1548334790
  NPD (past)

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1710254784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 DOWNEY AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066105",
            "telephone_number": "562-531-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 DOWNEY AVE.",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "502-531-1262",
            "fax_number": "562-531-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES LAZO",
        "first_name": "ELISEO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Valencia, MD
• Valentine Health Care Inc
• Valentine Health Care, Inc.
• Daniel L. Valentini, MD
• Michael James Valerio, DO
• Karen Elizabeth Valles, LCSW
• Jazmine Valtierra
• Kassidy Kathleen Valtierra
• Jacqueline Van Hulst, PSW
• Lauren Vance

• General Practice Dentistry in Bellflower, CA
• Providers in Bellflower, 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 Jul 31, 2012; 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.