INTERNATIONAL DENTAL PROVIDERS CORP. (NPI# 1396991295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396991295 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL DENTAL PROVIDERS CORP. |
| Practice Address |
1594 Woodlark Ct Chula Vista CA 91911-5321 |
| Practice Telephone | 6196918180 |
| Practice Fax Number | 6196911201 |
| Mailing Telephone | 6196918180 |
| Mailing Fax Number | 6196911201 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. ANGEL SERRANO (OWNER) |
| Authorized Official Telephone | 6196918180 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
512443 | ZZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SAFEGUARD HEALTH PLANS, INC. | 1141 | 01 |
| CA | PACIFIC UNION DENTAL, INC | 325977 | 01 |
| CA | GOLDEN WEST HEALTH PLANS, INC | 1185 | 01 |
| CA | WESTERN DENTAL SERVICES, INC | 1369 | 01 |
| CA | DENTAL HEALTH SERVICES OF CALIFORNIA | 104 | 01 |
| CA | CALIFORNIA DENTAL NETWORK, INC | 1327 | 01 |
| CA | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC | 351398 | 01 |
| CA | LIBERTY DENTAL PLANS OF CALIFORNIA | 4048 | 01 |
| CA | PACIFICARE DENTAL & VISION ADMINISTRATORS | 44010 | 01 |
| Street Address |
1594 WOODLARK CT |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235364241 | Jessica Serrano | Dentist | 1594 Woodlark Ct, Chula Vista, CA 91911-5321 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1801288865 | Maria T Quintana | Clinic/Center | 1239 Silver Hawk Way, Chula Vista, CA 91915-1669 | 2015-02-28 |
| 1619147188 | Ilse Savelli-castillo, Dds,i Nc | Clinic/Center | 355 K St Ste A, Chula Vista, CA 91911-1209 | 2008-03-11 |
| 1487844460 | Maria I. Zuniga D.d.s. P.C. | Clinic/Center | 985 Broadway Ste E, Chula Vista, CA 91911-1744 | 2007-07-26 |
| 1174538524 | Ronaldo R Saldana Dds Inc | Clinic/Center | 665 H St, Ste E, Chula Vista, CA 91910-4211 | 2006-07-31 |
| 1598305419 | Javier Valadez Dental Corporation | Clinic/Center | 585 Telegraph Canyon Rd, Chula Vista, CA 91910-6436 | 2020-01-08 |
| 1790263689 | Marites L. Sotto, Dds, Inc. | Clinic/Center | 890 Eastlake Pkwy Ste 307, Chula Vista, CA 91914-4522 | 2018-08-01 |
| 1871016501 | Joshua Masillamoni, Dds, PC | Clinic/Center | 2452 Fenton St., #304, Chula Vista, CA 91914 | 2017-07-25 |
| 1588060214 | Vivencio B. Abante, Dds, Inc. | Clinic/Center | 865 3rd Ave, 120, Chula Vista, CA 91911-1300 | 2014-11-06 |
| 1487066155 | Barry J Slipock Dds Apc | Clinic/Center | 750 Medical Center Ct, Suite 10, Chula Vista, CA 91911-6634 | 2014-05-28 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on INTERNATIONAL DENTAL PROVIDERS CORP..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.