Organization Active NPI

Myrna Aguilar Dental Corporation

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1801054788
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55630 Issued in CA
Legal business name
MYRNA AGUILAR DENTAL CORPORATION
Practice address
27625 Jefferson Ave
Ste 104
Temecula, CA 92590-2619
Phone
(951) 695-3274
Fax
(951) 695-3275
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Mr. Alex Ramos
Title
Distict Manager
Phone
(619) 307-8693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55630 CA Primary

Addresses

Primary practice location

27625 Jefferson Ave
Ste 104
Temecula, CA 92590-2619

Mailing address

27625 Jefferson Ave
Ste 104
Temecula, CA 92590-2619
Phone (951) 695-3274

National Provider Directory

National Provider Directory
Tax ID family
Healthy Habit Dental Temecula2 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.

Locations

27625 Jefferson Ave
Ste 104
Temecula, CA 92590
Phone (951) 695-3274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1801054788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27625 JEFFERSON AVE",
            "address_2": "STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902619",
            "telephone_number": "951-695-3274",
            "fax_number": "951-695-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27625 JEFFERSON AVE",
            "address_2": "STE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902619",
            "telephone_number": "951-695-3274",
            "fax_number": "951-695-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA AGUILAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DISTICT MANAGER",
        "authorized_official_telephone_number": "619-307-8693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.