MERCADO DENTAL CORPORATION
NPI 1164810305
Dentist - General Practice in Los Angeles, CA

Active since December 22, 2014
5114 VENICE BLVD, LOS ANGELES, CA 90019(323) 634-9333 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercado Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCADO DENTAL CORPORATION (NPI 1164810305) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2014. The organization lists Gerardo Mercado, Owner/officer, as its authorized official.

NPPES Registry Identity

NPI1164810305
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMERCADO DENTAL CORPORATION
Location Address5114 VENICE BLVDLos Angeles, CA 90019-5229
Mailing Address5114 Venice BlvdLos Angeles, CA 90019-5229 · (323) 634-9333
Organization SubpartNo
Authorized OfficialGerardo MercadoOwner/officer · (323) 634-9333
Enumeration DateDecember 22, 2014
Last NPPES UpdateJanuary 15, 2015
NPI 1164810305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 59598
Definition
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.
5114 VENICE BLVD, Los Angeles, CA 90019

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5114 VENICE BLVD
LOS ANGELES, CA 90019
Clinic/Center (Dental)
5114 VENICE BLVD
LOS ANGELES, CA 90019
Dentist (General Practice)
5114 VENICE BLVD
LOS ANGELES, CA 90019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercado Dental Corporation's NPI number?

The NPI number for Mercado Dental Corporation is 1164810305. It was assigned to this organization in the NPPES registry on December 22, 2014.

Where is Mercado Dental Corporation located?

Mercado Dental Corporation is located at 5114 Venice Blvd, Los Angeles, CA 90019. The listed phone number is (323) 634-9333.

What is Mercado Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mercado Dental Corporation was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.