Nuvo Dental

Primary specialty

DentistTaxonomy code 122300000X

License

58012 Issued in CA

Legal business name

NUVO DENTAL

Doing business as

Aava Dental of Union City a Mercedes Leoncio Dental Group Inc

Practice address

31780 Alvarado Blvd
Union City, CA 94587-5800

Phone

(817) 529-8151

Fax

(817) 529-8156

NPI assigned

Jul 5, 2013

Last updated

Oct 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yahya Mansour

Title

Owner

Phone

(817) 529-8151

Specialties & licenses 1

Addresses

Other names 1

• AAVA DENTAL OF UNION CITY A MERCEDES LEONCIO DENTAL GROUP INC Doing business as

Locations

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1801236898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31780 ALVARADO BLVD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "94587",
            "telephone_number": "817-529-8151",
            "fax_number": "817-529-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31780 ALVARADO BLVD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945875800",
            "telephone_number": "817-529-8151",
            "fax_number": "817-529-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-529-8151"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAVA DENTAL OF UNION CITY A MERCEDES LEONCIO DENTAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Wong Nitsos, M.D.
• Noble Dental Care
• Francisco Nunez Jr., DPT
• Maria Guadalupe Nunez
• Camille Nuttall, CCC-SLP
• Maria Trinidad G Nuyda
• Megan O'Connell, BEHAVIOR TECHNICIAN
• Tiana Doneylle O'Neal
• Jean C Oakley, PH.D.
• Oasis Healthcare Corporation

• Dentist in Union City, CA
• Providers in Union City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.