Koa and Vallarta Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56838 Issued in CA

Legal business name

KOA AND VALLARTA DENTAL CORP

Doing business as

Alliance Dental Center

Practice address

1474 N Milpitas Blvd
Milpitas, CA 95035-3118

Phone

(408) 946-1397

Fax

(408) 262-1337

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By 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. Michael Vallarta, DMD

Title

Dentist/Owner

Phone

(408) 946-1397

Specialties & licenses 1

Addresses

Other names 1

• ALLIANCE DENTAL CENTER Doing business as

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.

• Cleofe Barranta Quiroz, DMD

  • Dentist
  • Milpitas, CA
  • NPI 1497805097

  General Practice

  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1992195119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 N MILPITAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353118",
            "telephone_number": "408-946-1397",
            "fax_number": "408-262-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 N MILPITAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353118",
            "telephone_number": "408-946-1397",
            "fax_number": "408-262-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOA AND VALLARTA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "VALLARTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "408-946-1397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLIANCE DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Kim, PHARM.D.
• Sarah Kim
• Sung S. Kim, D.C.
• Autumn Ambrose King, P.T.
• David William Charles Knight, RPH
• Michelle Kolinsky, PSY.D.
• Jyoshna Kolisetty
• Linda Gayle Kolstad, PH.D.
• Walter Randy Kosich, D.D.S.
• Jess Alan Krick, CMT

• General Practice Dentistry in Milpitas, CA
• Providers in Milpitas, 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, 2015; 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.