Organization Active NPI

Nuevo Smile Dental Management Corporation

  • Dental Assistant
  • Nuevo, CA
National Provider Identifier
1992117428
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Legal business name
NUEVO SMILE DENTAL MANAGEMENT CORPORATION
Practice address
29616 Nuevo Rd
Suite A4
Nuevo, CA 92567-9201
Phone
(951) 377-4157
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Ms. Elizabeth Zendejas
Title
Ceo
Phone
(951) 377-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X NU Primary

Addresses

Primary practice location

29616 Nuevo Rd
Suite A4
Nuevo, CA 92567-9201

Mailing address

29616 Nuevo Rd
Suite A4
Nuevo, CA 92567-9201
Phone (951) 377-4157

Other names 1

  • NUEVO SMILE DENTAL MANAGEMENT CORPORATION Other name

National Provider Directory

National Provider Directory

Locations

29616 Nuevo Rd
Ste A4
Nuevo, CA 92567
Phone (951) 377-4157

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1992117428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29616 NUEVO RD",
            "address_2": "SUITE A4",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925679201",
            "telephone_number": "951-377-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29616 NUEVO RD",
            "address_2": "SUITE A4",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925679201",
            "telephone_number": "951-377-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVO SMILE DENTAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "ZENDEJAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-377-4157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUEVO SMILE DENTAL MANAGEMENT CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nuevo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.