Chelsea Nicole Tanilon Paclibar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107889 Issued in CA

Practice address

20258 US Highway 18 Ste 400
Apple Valley, CA 92307-6197

Phone

(760) 646-8839

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lopez and Stromberg Dental Corporation

  dba Parkway Dental Group

  • General Practice Dentistry
  • Apple Valley, CA
  • NPI 1265610802
  NPD (past)
• Stromberg and Shetty Dental Corporation

  dba Apple Valley Smiles

  • General Practice Dentistry
  • Apple Valley, CA
  • NPI 1639350119
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1932828795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29521 CANYON SPRINGS RD",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466239",
            "telephone_number": "909-353-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20258 US HIGHWAY 18 STE 400",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923076197",
            "telephone_number": "760-646-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12218 Apple Valley Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923081704",
            "country_code": "US",
            "telephone_number": "760-300-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACLIBAR",
        "first_name": "CHELSEA NICOLE",
        "middle_name": "TANILON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Pacific Clinics
• Pacific Eye Institute a Medical Group Inc
• Pacifica Valley Crest LP (Valley Crest Memory Care)
• Eric Andrews Packard, OTR/L
• Natalie Padilla, B.A.
• Vianca Padilla
• Jasmine Padinske
• Johanna Paez-Carrillo
• Rachelle Painter, MSOT, OTR/L

• General Practice Dentistry in Apple Valley, CA
• Providers in Apple Valley, 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 Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.