Organization Active NPI

Spo7 Management Corp

  • Dental Clinic/Center
  • Glendora, CA
National Provider Identifier
1033979430
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SPO7 MANAGEMENT CORP
Practice address
1753 S Valley Center Ave
Glendora, CA 91740-6100
Phone
(626) 771-0064
Fax
(626) 513-7463
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
German Guillermo Jaquez, DDSNPI 1134261126
Title
Dentist
Phone
(626) 771-0064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1753 S Valley Center Ave
Glendora, CA 91740-6100

Mailing address

1753 S Valley Center Ave
Glendora, CA 91740-6100
Phone (626) 771-0064

Other names 1

  • ECCO DETNAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1033979430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 S VALLEY CENTER AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406100",
            "telephone_number": "626-771-0064",
            "fax_number": "626-513-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 S VALLEY CENTER AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406100",
            "telephone_number": "626-771-0064",
            "fax_number": "626-513-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPO7 MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JAQUEZ",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-771-0064",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECCO DETNAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.