Enrique Flores, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47368 Issued in CA

Practice address

15431 Amar Rd
La Puente, CA 91744-2803

Phone

(626) 968-5110

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063635241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 HAY ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402336",
            "telephone_number": "323-273-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15431 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442803",
            "telephone_number": "626-968-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL RENDERING PROVID",
            "identifier": "D47368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairmont Healthcare Corp.
• Diana Oluwakemi Falodun, PHARMD, RPH
• Danielle Marie Faust
• Fenghua Fu D.D.S., a Professional Corporation
• Pamela Joyce Flennory
• Foothill Family Service
• Foothill Family Service
• Foothill Family Service
• Foothill Family Service
• Alma Fragoso-Corona, O.D.

• General Practice Dentistry in La Puente, CA
• Providers in La Puente, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.