Individual provider Active NPI

Nelly Parayno, D.M.D.

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1720474257
Registry record updated Nov 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39062 Issued in CA
Practice address
1433 W Merced Ave
Suite 206
West Covina, CA 91790-3402
Phone
(626) 480-1598
Fax
(626) 480-1509
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39062 CA Primary

Addresses

Primary practice location

1433 W Merced Ave
Suite 206
West Covina, CA 91790-3402

Mailing address

1433 W Merced Ave
Suite 206
West Covina, CA 91790-3402
Phone (626) 480-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39062CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nelly a. Parayno, D.M.D., Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479513600000",
    "number": "1720474257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "SUITE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-480-1598",
            "fax_number": "626-480-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "SUITE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-480-1598",
            "fax_number": "626-480-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAYNO",
        "first_name": "NELLY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2016-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; 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.