Anaheimdentalcare

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49259 Issued in CA

Legal business name

ANAHEIMDENTALCARE

Practice address

3050 West Lincoln Avenue Suite a
Anaheim, CA 92801-6131

Phone

(714) 821-7645

Fax

(714) 761-2106

NPI assigned

May 11, 2007

Last updated

Jun 17, 2008By 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

Miss Cecilia Montoya

Title

Manager

Phone

(714) 821-7645

Specialties & licenses 1

Addresses

Other names 1

• anaheimdentalcare Former legal business name

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1811102189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 WEST LINCOLN AVENUE SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016131",
            "telephone_number": "714-821-7645",
            "fax_number": "714-761-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 WEST LINCOLN AVENUE SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016131",
            "telephone_number": "714-821-7645",
            "fax_number": "714-761-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIMDENTALCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-821-7645",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "anaheimdentalcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Celia C Anaya-Conboy, LMFT

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.