Dr. Clementine C. Ignacio DMD.,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

43609 Issued in CA

Legal business name

DR. CLEMENTINE C. IGNACIO DMD.,INC

Practice address

2415 W Lincoln Ave
Ste a
Anaheim, CA 92801-6490

Phone

(714) 220-1032

Fax

(714) 220-9032

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clementine Cabading Ignacio, D.M.DNPI 1588699060

Title

President

Phone

(714) 220-1032

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Clementine Cabading Ignacio, D.M.D.

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1588699060
  NPD (past) Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1760673263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W LINCOLN AVE",
            "address_2": "STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016490",
            "telephone_number": "714-220-1032",
            "fax_number": "714-220-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W LINCOLN AVE",
            "address_2": "STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016490",
            "telephone_number": "714-220-1032",
            "fax_number": "714-220-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CLEMENTINE C. IGNACIO DMD.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "CLEMENTINE",
        "authorized_official_middle_name": "CABADING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-220-1032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.