Active NPI
Jovelyn H Gabriel, D.M.D.
- General Practice Dentistry
- Riverside, CA
National Provider Identifier
1104975333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38015
- Practice address
- 6850 Brockton Ave
Suite 110
Riverside, CA 92506-3808 - Phone
- (951) 683-6221
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38015 | CA | Primary |
Addresses
Primary practice location
6850 Brockton Ave
Suite 110
Riverside, CA 92506-3808
Mailing address
6850 Brockton Ave
Suite 110
Riverside, CA 92506-3808
Phone (951) 683-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38015 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Gabriel, D.M.D., Inc. | Past | Accepting new patients | |
| Beckley General Dentistry, Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Riverside, CA
- NPI 1619819828
-
- Dental Clinic/Center
- Riverside, CA
- NPI 1083763221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104975333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 BROCKTON AVE",
"address_2": "SUITE 110",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063808",
"telephone_number": "951-683-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 BROCKTON AVE",
"address_2": "SUITE 110",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063808",
"telephone_number": "951-683-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "JOVELYN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 8, 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.