NPIMap

Organization Active NPI

Dr, Vicente G. Casibang, DDS, Inc.

  • General Practice Dentistry
  • Spring Valley, CA
National Provider Identifier
1760810485
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49483 Issued in CA
Legal business name
DR, VICENTE G. CASIBANG, DDS, INC.
Doing business as
Valley View Dental Office
Practice address
123 Worthington St Ste 101
Spring Valley, CA 91977-6100
Phone
(619) 475-8419
Fax
(619) 472-3624
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Vicente G. Casibang, DDSNPI 1184631921
Title
Owner
Phone
(619) 475-8419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 49483 CA Primary

Addresses

Primary practice location

123 Worthington St Ste 101
Spring Valley, CA 91977-6100

Mailing address

123 Worthington St Ste 101
Spring Valley, CA 91977-6100
Phone (619) 475-8419

Other identifiers 1

IdentifierTypeStateIssuer
522496MedicaidCA

Other names 1

  • Valley View Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

123 Worthington St
Ste 101
Spring Valley, CA 91977
Phone (619) 475-8419

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": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1760810485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WORTHINGTON ST STE 101",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919776100",
            "telephone_number": "619-475-8419",
            "fax_number": "619-472-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WORTHINGTON ST STE 101",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919776100",
            "telephone_number": "619-475-8419",
            "fax_number": "619-472-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR, VICENTE G. CASIBANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "CASIBANG",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-475-8419",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley View Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.