Active NPI
Elenes Dental Corporation
Doing business as Legacy Dental
- Dental Clinic/Center
- Baldwin Park, CA
National Provider Identifier
1841596954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 30715
- Legal business name
- ELENES DENTAL CORPORATION
- Doing business as
- Legacy Dental
- Practice address
- 3127 Baldwin Park Blvd
Suite D
Baldwin Park, CA 91706-4754 - Phone
- (626) 962-3500
- Fax
- (626) 962-3551
- NPI assigned
- Feb 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Elenes, D.D.S.
- Title
- Owner
- Phone
- (310) 637-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 30715 | CA | Primary |
Addresses
Primary practice location
3127 Baldwin Park Blvd
Suite D
Baldwin Park, CA 91706-4754
Mailing address
3127 Baldwin Park Blvd
Suite D
Baldwin Park, CA 91706-4754
Phone (626) 962-3500
Other names 1
- Legacy Dental
National Provider Directory
National Provider Directory- Tax ID family
- Elenes Dental Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
3127 Baldwin Park Blvd
Ste D
Baldwin Park, CA 91706
Phone (626) 962-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298937600000",
"number": "1841596954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 BALDWIN PARK BLVD",
"address_2": "SUITE D",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917064754",
"telephone_number": "626-962-3500",
"fax_number": "626-962-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3127 BALDWIN PARK BLVD",
"address_2": "SUITE D",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917064754",
"telephone_number": "626-962-3500",
"fax_number": "626-962-3551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELENES DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-07",
"last_updated": "2011-03-01",
"status": "A",
"authorized_official_last_name": "ELENES",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-637-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "30715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Baldwin Park, CA
- Eggleston Youth Centers, Inc.
- Eggleston Youth Centers, Inc.
- El Monte Dental Group
- El Proyecto del Barrio, Inc. (El Proyecto del Barrio, Inc.- Baldwin Park Community Clinic)
- El Proyecto del Barrio, Inc. (El Proyecto del Barrio, Inc.- Baldwin Park Community Clinic 2)
- Erick F. Carcamo a Professional Medical Corporation
- Marvin Ersher, MD
- Cecilia Raquel Escobedo, NP
- Kristi Hilliard Esfandiary, M.S.,CCC-SLP
- Niloofar Eskandari, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.