NPIMap

Organization Active NPI

Hernando Suarez DDS,Inc

  • Dentist
  • Riverside, CA
National Provider Identifier
1104016971
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48384 Issued in CA
Legal business name
HERNANDO SUAREZ DDS,INC
Practice address
17157 Spring Canyon PL
Riverside, CA 92503-0234
Phone
(951) 353-2873
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Dr. Hernando Suarez, DDS
Title
Owner
Phone
(714) 537-7773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48384 CA Primary

Addresses

Primary practice location

17157 Spring Canyon PL
Riverside, CA 92503-0234

Mailing address

13252 Century Blvd
Suite Q
Garden Grove, CA 92843-1256
Phone (714) 537-7773

Other names 1

  • Maranatha Dental Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1104016971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13252 CENTURY BLVD",
            "address_2": "SUITE Q",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431256",
            "telephone_number": "714-537-7773",
            "fax_number": "714-537-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17157 SPRING CANYON PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030234",
            "telephone_number": "951-353-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDO SUAREZ DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "HERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-537-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maranatha Dental Practice",
            "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 Jul 27, 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.