M.L. Aguilar Chavez Dental, Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

M.L. AGUILAR CHAVEZ DENTAL, CORPORATION

Practice address

15525 Pomerado Rd Ste C9
Poway, CA 92064-2426

Phone

(858) 485-8801

Fax

(858) 485-9778

NPI assigned

Jun 25, 2015

Last updated

Jan 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Myrna L Aguilar-Chavez, DDSNPI 1568634384

Title

President/Owner

Phone

(858) 485-8801

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myrna L Aguilar-Chavez, D.D.S.

  • General Practice Dentistry
  • Poway, CA
  • NPI 1568634384
  NPD Authorized official

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1942682943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE C9",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642426",
            "telephone_number": "858-485-8801",
            "fax_number": "858-485-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE C9",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642426",
            "telephone_number": "858-485-8801",
            "fax_number": "858-485-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.L. AGUILAR CHAVEZ DENTAL, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "AGUILAR-CHAVEZ",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "858-485-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine E. Lutticken, PHARM.D.
• Taylor Lynch
• Jasmine Lyng
• Tracey Lee Lysander, DDS
• M. Nina Mojaver, DMD a Dental Corporation
• Vanessa Macedo
• Jennifer Huyen Macewan, M.D.
• Jessica Bradley Mackay, RNFA
• Katherine Macleod
• Narasa Raju Madam, M.B.B.S

• General Practice Dentistry in Poway, CA
• Providers in Poway, 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 Jan 26, 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.