Individual provider Active NPI

Valentina Redden, DDS

  • Prosthodontics
  • La Habra, CA
National Provider Identifier
1861710378
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
54766 Issued in CA
Practice address
111 N Euclid St
La Habra, CA 90631-4614
Phone
(562) 309-1070
Fax
(562) 697-5844
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54766 CA
Prosthodontics 1223P0700X 54766 CA Primary

Addresses

Primary practice location

111 N Euclid St
La Habra, CA 90631-4614

Mailing address

111 N Euclid St
La Habra, CA 90631-4614
Phone (562) 309-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328001693 CA Order and Referring Only - DentistPractitioner - Dentist 3779880224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54766CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Valentina Redden DDS Inc Prosthodontics Past Accepting new patients
George Arakelian DDS Inc Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1861710378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N EUCLID ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314614",
            "telephone_number": "562-309-1070",
            "fax_number": "562-697-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N EUCLID ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314614",
            "telephone_number": "562-309-1070",
            "fax_number": "562-697-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "VALENTINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54766",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "54766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.