Active NPI
Delivering Smiles Inc.
- Dental Hygienist
- Fresno, CA
National Provider Identifier
1104442995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rhoda Gonzales
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Primary | ||
| Advanced Practice Dental Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700021094 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Fresno, CA
- NPI 1700021094
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.