Organization Active NPI

Delivering Smiles Inc.

  • Dental Hygienist
  • Fresno, CA
National Provider Identifier
1104442995
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
DELIVERING SMILES INC.
Practice address
202 W Riverridge Ave
Fresno, CA 93711-6958
Phone
(559) 960-2232
Fax
(559) 431-4349
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Mrs. Rhoda GonzalesNPI 1700021094
Title
Owner
Phone
(559) 960-2232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary
Advanced Practice Dental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 125K00000X

Addresses

Primary practice location

202 W Riverridge Ave
Fresno, CA 93711-6958

Mailing address

PO Box 27011
Fresno, CA 93729-7011
Phone (559) 960-2232

Other identifiers 1

IdentifierTypeStateIssuer
1700021094MedicaidCA

National Provider Directory

National Provider Directory

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": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1104442995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27011",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297011",
            "telephone_number": "559-960-2232",
            "fax_number": "559-431-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W RIVERRIDGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116958",
            "telephone_number": "559-960-2232",
            "fax_number": "559-431-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERING SMILES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-960-2232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700021094",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.