NPIMap

Organization Active NPI

Adrian Acosta DDS a Prof Dental Corp

  • Dentist
  • La Habra, CA
National Provider Identifier
1881163004
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ADRIAN ACOSTA DDS A PROF DENTAL CORP
Practice address
901 W. Whittier Blvd
La Habra, CA 90631
Phone
(562) 905-8338
NPI assigned
Nov 16, 2018
Last updated
Nov 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ADRIAN ACOSTA DDS A PROF DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Bruno Boval
Title
Treasurer
Phone
(562) 552-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

901 W. Whittier Blvd
La Habra, CA 90631

Mailing address

901 W. Whittier Blvd
La Habra, CA 90631
Phone (562) 905-8338

National Provider Directory

National Provider Directory
Tax ID family
Adrian Acosta Ddsa Professional Dental Corporation29 organizations share this tax ID, including this one
Part of
Adrian Acosta Ddsa Professional Dental Corporation

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1881163004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W. WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-905-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W. WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "562-905-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN ACOSTA DDS A PROF DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADRIAN ACOSTA DDS A PROF DENTAL CORP",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "BOVAL",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "562-552-1344"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.