Active NPI
Robert Lee Horne, DDS
- Dentist
- San Jacinto, CA
National Provider Identifier
1043642879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37336
- Practice address
- 19625 Gilman Springs Rd
San Jacinto, CA 92583-2100 - Phone
- (951) 654-5347
- Fax
- (951) 487-7221
- NPI assigned
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37336 | CA | Primary |
Addresses
Primary practice location
19625 Gilman Springs Rd
San Jacinto, CA 92583-2100
Mailing address
6331 Hollywood Blvd
Suite 1305
Los Angeles, CA 90028-6321
Phone (323) 960-3569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37336 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1043642879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6331 HOLLYWOOD BLVD",
"address_2": "SUITE 1305",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900286321",
"telephone_number": "323-960-3569",
"fax_number": "951-487-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19625 GILMAN SPRINGS RD",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925832100",
"telephone_number": "951-654-5347",
"fax_number": "951-487-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.