ELVIS BAQUERO (NPI# 1679775829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679775829 |
Entity Type | Individual |
Full Name | ELVIS BAQUERO |
Credential | DDS |
Practice Address |
1455 N Avalon Blvd Wilmington CA 90744 |
Mailing Address |
1455 N Avalon Blvd Wilmington CA 90744-1506 |
Practice Telephone | 3105618711 |
Practice Fax Number | 7604961154 |
Mailing Telephone | 7602326471 |
Mailing Fax Number | 7604961154 |
Enumeration Date | 2007-06-01 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
49059 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | IRS | 82-3721638 | 01 |
Street Address |
1455 N AVALON BLVD |
City | WILMINGTON |
State | CA |
Zip Code | 90744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659889715 | Royal Family Dental Inc | Preferred Provider Organization | 1455 N Avalon Blvd, Wilmington, CA 90744-1506 | 2018-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
1336352103 | Lourdes Uysingco | Dentist | 934 N Avalon Blvd, Wilmington, CA 90744 | 2007-05-08 |
Find all providers in zip 90744 |
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 |
---|---|---|---|---|
1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
1851930986 | L.brett Wells Dds IIi Pllc | Dentist | 124 Walnut St Ste 101, Wilmington, NC 28401-4361 | 2020-01-07 |
1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
1497312649 | Christian G Cook | Dentist | 7205 Wrightsville Ave Ste 105, Wilmington, NC 28403-7273 | 2019-05-23 |
1417424649 | Lindell Plaza Dental LLC | Dentist | 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 | 2018-10-25 |
1699128868 | Lauren Elizabeth Marechal | Dentist | 5000 Market St, Wilmington, NC 28405-3430 | 2016-07-22 |
1982051546 | Safia Naik-azizi Dmd & Associates Pa | Dentist | 215 Racine Dr Ste 102, Wilmington, NC 28403-8839 | 2016-05-24 |
1508213323 | Daniel Joseph Duffy Jr. | Dentist | 2520 Delaney Ave, Wilmington, NC 28403-6002 | 2016-05-22 |
1326468513 | Edward Blake Bayley | Dentist | 1610 Sunset Ln, Wilmington, DE 19810-4149 | 2014-04-26 |
1255751616 | Eric and Casey Burns Dds Pa | Dentist | 4914 Randall Pkwy, Wilmington, NC 28403-2879 | 2014-04-23 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 90744 |
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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.