Organization Active NPI

Erik .D . Cabrera a Profesinal Dental Corp.

  • Dentist
  • Moreno Valley, CA
National Provider Identifier
1033358221
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40918 Issued in CA
Legal business name
ERIK .D . CABRERA A PROFESINAL DENTAL CORP.
Practice address
14435 Moreno Beach Dr
108 A
Moreno Valley, CA 92555
Phone
(951) 247-6000
Fax
(951) 247-6114
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Erik D Cabrera, DDS
Title
Owner
Phone
(951) 236-0639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 40918 CA Primary

Addresses

Primary practice location

14435 Moreno Beach Dr
108 A
Moreno Valley, CA 92555

Mailing address

14435 Moreno Beach Drive
108A
Moreno Valley, CA 92555-1443
Phone (951) 247-6000

National Provider Directory

National Provider Directory

Locations

14435 Moreno Beach Dr
#108A
Moreno Valley, CA 92555
Phone (951) 247-6000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1033358221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 MORENO BEACH DRIVE",
            "address_2": "108A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925551443",
            "telephone_number": "951-247-6000",
            "fax_number": "951-247-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 MORENO BEACH DR",
            "address_2": "108 A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92555",
            "telephone_number": "951-247-6000",
            "fax_number": "951-247-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK .D . CABRERA A PROFESINAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-236-0639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.