Organization Active NPI

Amy C. Hao D.D.S., a Professional Corporation

  • Dental Clinic/Center
  • Riverside, CA
National Provider Identifier
1083427843
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Feb 21, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.