Vizconde Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31414 Issued in CA

Legal business name

VIZCONDE DENTAL CORPORATION

Practice address

5771 Beach Blvd
Buena Park, CA 90621-2044

Phone

(714) 228-1230

Fax

(714) 228-0580

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Edna P Vizconde, DMDNPI 1033249388

Title

Secretary

Phone

(714) 228-1230

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Edna P Vizconde, D.M.D.

  • General Practice Dentistry
  • Buena Park, CA
  • NPI 1033249388
  NPD (past) Authorized official
• Benito O Vizconde, D.M.D.

  • General Practice Dentistry
  • Buena Park, CA
  • NPI 1043340300
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1891126355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212044",
            "telephone_number": "714-228-1230",
            "fax_number": "714-228-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212044",
            "telephone_number": "714-228-1230",
            "fax_number": "714-228-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIZCONDE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "VIZCONDE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-228-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amabelle Villondo, OTR
• Vincent Dat Nguyen Inc.
• Visionary Retail Management Ca, Inc.
• Filipinas Vitug
• Eduardo Ulises Vizcarra
• Benito O Vizconde, D.M.D.
• Edna P Vizconde, D.M.D.
• Nathan Nguyen Anh Vo, PHARMD
• Uzra Wahid, PHARMD.
• Wal-Mart Stores, Inc.

• General Practice Dentistry in Buena Park, CA
• Providers in Buena Park, 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 Dec 10, 2013; 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.