NPIMap

Organization Active NPI

Delfin Tio DDS Inc.

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1881744902
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39899 Issued in CA
Legal business name
DELFIN TIO DDS INC.
Practice address
3200 La Crescenta Ave
Suite 201
Glendale, CA 91208-1600
Phone
(818) 541-0876
Fax
(818) 541-0148
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Delfin Tio, DDS
Title
Owner
Phone
(818) 541-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39899 CA Primary

Addresses

Primary practice location

3200 La Crescenta Ave
Suite 201
Glendale, CA 91208-1600

Mailing address

3200 La Crescenta Ave
Suite 201
Glendale, CA 91208-1600
Phone (818) 541-0876

Other identifiers 2

IdentifierTypeStateIssuer
B39899OtherCAHEALTHY FAMILIES
B3989901OtherCADENTI-CAL

Other names 1

  • ANGELES CREST DENTISTRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angeles Crest Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1881744902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LA CRESCENTA AVE",
            "address_2": "SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081600",
            "telephone_number": "818-541-0876",
            "fax_number": "818-541-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LA CRESCENTA AVE",
            "address_2": "SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081600",
            "telephone_number": "818-541-0876",
            "fax_number": "818-541-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELFIN TIO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "TIO",
        "authorized_official_first_name": "DELFIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-541-0876",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "B39899",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B3989901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELES CREST DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.