ACEVEDO DENTAL OFFICE, INC. (NPI# 1790201762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790201762 |
| Entity Type | Organization |
| Organization Name | ACEVEDO DENTAL OFFICE, INC. |
| Practice Address |
2800 N Main St Unit 1010 Santa Ana CA 92705-6608 |
| Practice Telephone | 7146177979 |
| Practice Fax Number | 7146177278 |
| Mailing Telephone | 7146177979 |
| Mailing Fax Number | 7146177278 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | LIDYA SORAYA ACEVEDO (OWNER) |
| Authorized Official Telephone | 3237241010 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | Y |
| Parent Organization Name | ACEVEDO DENTAL OFFICE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
55423 | CA | Dental Providers |
| Street Address |
2800 N MAIN ST UNIT 1010 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-6608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014686 | Magdalena B Minkowicz | Dentist | 2800 N Main St Unit 1010, Santa Ana, CA 92705-6608 | 2019-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997011 | Anisha Nguyen Dds Prof. Corp. | Dentist | 5127 W Edinger Ave Ste E, Santa Ana, CA 92704-1969 | 2020-09-21 |
| 1801430913 | A Nguyen Dental Corporation | Dentist | 2414 S Fairview St Ste 107a, Santa Ana, CA 92704-5345 | 2019-10-31 |
| 1225509235 | Archung & Lagatta Dds, Inc | Dentist | 1702 S Main St, Santa Ana, CA 92707-1836 | 2018-12-17 |
| 1326520735 | Truman Kim Nguyen | Dentist | 1234 S Karen Ave, Santa Ana, CA 92704-2034 | 2018-08-31 |
| 1700389830 | Edward Hakim Dds Incorporated | Dentist | 3500 S Bristol St Ste 101, Santa Ana, CA 92704-7319 | 2018-03-15 |
| 1619495322 | Mary Strachan | Dentist | 11632 Ranch Hl, Santa Ana, CA 92705-3130 | 2017-09-01 |
| 1467976555 | Heather Brittany Simpson | Dentist | 1913 E 17th St Ste 113, Santa Ana, CA 92705-8627 | 2017-07-31 |
| 1336683549 | Avishan K. Nasiri, Dmd, Inc. | Dentist | 801 N Tustin Ave Ste 504, Santa Ana, CA 92705-3609 | 2016-12-06 |
| 1841742954 | Andy Truong | Dentist | 120 S Harbor Blvd Ste A, Santa Ana, CA 92704-1382 | 2016-10-25 |
| 1790232205 | Ismile Dental Group Dental Office of Dr Elizabeth D. Marcelo | Dentist | 2710 N. Grand Avenue, Santa Ana, CA 92705 | 2016-09-01 |
| Find all providers in SANTA ANA | ||||
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| 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.