JAVIER ALEJANDRO VIDES (NPI# 1316482623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316482623 |
| Entity Type | Organization |
| Organization Name | JAVIER ALEJANDRO VIDES |
| Other Organization Name | JAVIER A. VIDES DDS |
| Practice Address |
Gonzalez De Cossio 1 Suite 103 Mexico City MEXICO 03100 MX |
| Mailing Address |
4275 Executive Sq Suite 200 La Jolla CA 92037-9123 |
| Practice Telephone | 5511076204 |
| Practice Fax Number | 8662726924 |
| Mailing Telephone | 8007433900 |
| Mailing Fax Number | 8662726924 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | DR. JAVIER ALEJANDRO VIDES (DENTIST) |
| Authorized Official Telephone | 8007433900 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2486675 | ZZ | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3444576 | ZZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Javier A. Vides DDS | Doing Business As Name - Organization |
| Street Address |
GONZALEZ DE COSSIO 1 SUITE 103 |
| City | MEXICO CITY |
| State | MEXICO |
| Zip Code | 03100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003356841 | Fernando Calisaya | Dentist | 1 Gonzalez De Cosio, Ste 103 Colonia Del Valle, Mexico City, MEXICO CITY 03100 | 2017-02-27 |
| 1841730603 | Elizabeth Reyes | Dentist | Gonzalez De Cosio # 1, Ste 103, Mexico City, MEXICO CITY 03100 | 2017-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700382090 | Taraz Imani Ramos | Student in an Organized Health Care Education/Training Program | Anaxagoras 1342, Colonia Letran Valle, Delegacion Benito Juarez, Mexico City, NOT APPLICABLE 03650 | 2018-04-04 |
| 1528484714 | Melissa Mitchell | Speech-Language Pathologist | Paseo De Los Laureles 404, 1205, Mexico City, MEXICO 05100 | 2014-03-12 |
| 1144470154 | Elizabeth Ann Willems | Psychologist | Taine 216, Polanco, Mexico City, D.F. 11550 | 2008-09-25 |
| 1174674964 | Enrique Grageda | Dentist | Puente De Piedra 150-905. Col. Toriello Guerra, Mexico City, MEXICO 14050 | 2007-01-16 |
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003356841 | Fernando Calisaya | Dentist | 1 Gonzalez De Cosio, Ste 103 Colonia Del Valle, Mexico City, MEXICO CITY 03100 | 2017-02-27 |
| City | MEXICO CITY |
| Zip Code | 03100 |
Please comment or provide details below to improve the information on JAVIER ALEJANDRO VIDES.
| 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.