Active NPI
Amy C. Hao D.D.S., a Professional Corporation
- Dental Clinic/Center
- Riverside, CA
National Provider Identifier
1083427843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- AMY C. HAO D.D.S., A PROFESSIONAL CORPORATION
- Practice address
- 5005 La Mart Dr Ste 102
Riverside, CA 92507-5991 - Phone
- (951) 786-9141
- NPI assigned
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Leslie Cox
- Title
- Office Manager
- Phone
- (951) 786-9141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5005 La Mart Dr Ste 102
Riverside, CA 92507-5991
Mailing address
5005 La Mart Dr Ste 102
Riverside, CA 92507-5991
Phone (951) 786-9141
Other names 1
- University Village Dentistry
National Provider Directory
National Provider DirectoryLocations
5005 La Mart Dr
Ste 102
Riverside, CA 92507
Phone (951) 786-9141
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Riverside, CA
- NPI 1851439871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1083427843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 LA MART DR STE 102",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075991",
"telephone_number": "951-786-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 LA MART DR STE 102",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075991",
"telephone_number": "951-786-9141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY C. HAO D.D.S., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "951-786-9141",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "University Village Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "University Village Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.