Grace Rogacion Ignacio, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40616 Issued in CA

Practice address

2527 Santa Fe Ave
Long Beach, CA 90810-3244

Phone

(562) 492-1148

Fax

(562) 424-9848

NPI assigned

Jan 13, 2007

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

Other names 1

• Dr. Grace Vance Rogacion Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952452385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103244",
            "telephone_number": "562-492-1148",
            "fax_number": "562-424-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 SANTA FE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103244",
            "telephone_number": "562-492-1148",
            "fax_number": "562-424-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "GRACE",
        "middle_name": "ROGACION",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "ROGACION",
            "middle_name": "VANCE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Igenome, Inc.
• Igenome, Inc.
• Igenome, Inc.
• Jovan Iglesias
• Annalea Ignacio
• Graciela Ignacio
• Krystle Ignacio
• Ijeoma C. Igwe, D.D.S.
• Amauchechi Chidozie Ihenacho
• Holly Ihle, PH.D.

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, 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 Jul 8, 2007; 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.