Organization Active NPI

William S. Hardee Jr. D.M.D., Inc. Friendly Dental Center

  • General Practice Dentistry
  • Murrieta, CA
National Provider Identifier
1033388145
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32561 Issued in CA
Legal business name
WILLIAM S. HARDEE JR. D.M.D., INC. FRIENDLY DENTAL CENTER
Practice address
39252 Winchester Rd
Suite 117
Murrieta, CA 92563-3509
Phone
(951) 894-7769
Fax
(951) 894-7697
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. William S. Hardee II, D.M.D.
Title
Owner/Dentist
Phone
(951) 676-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 32561 CA Primary

Addresses

Primary practice location

39252 Winchester Rd
Suite 117
Murrieta, CA 92563-3509

Mailing address

39252 Winchester Rd
Suite 117
Murrieta, CA 92563-3509
Phone (951) 894-7769

Other identifiers 1

IdentifierTypeStateIssuer
1508957002MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
William S Hardee Jr DMD Inc Friendly Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1033388145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD",
            "address_2": "SUITE 117",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "951-894-7769",
            "fax_number": "951-894-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD",
            "address_2": "SUITE 117",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "951-894-7769",
            "fax_number": "951-894-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. HARDEE JR. D.M.D., INC. FRIENDLY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HARDEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "951-676-8920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508957002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.