NPIMap

Organization Active NPI

Esparza Dentistry Inc.

  • General Practice Dentistry
  • Rialto, CA
National Provider Identifier
1124382296
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESPARZA DENTISTRY INC.
Practice address
786 E Foothill Blvd
Ste D
Rialto, CA 92376-5285
Phone
(909) 874-7870
Fax
(909) 986-6179
NPI assigned
Jul 3, 2012
Organization subpart
Yes
Parent organization
ESPARZA DENTISTRY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Oscar B Esparza, DDS
Title
President
Phone
(909) 874-7870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

786 E Foothill Blvd
Ste D
Rialto, CA 92376-5285

Mailing address

786 E Foothill Blvd
Ste D
Rialto, CA 92376-5285
Phone (909) 874-7870

Other identifiers 2

IdentifierTypeStateIssuer
D45252-02MedicaidCA
B41648-02MedicaidCA

Other names 1

  • Blanca M. Esparza D.D.S. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Esparza Dental Corporation3 organizations share this tax ID, including this one
Part of
Esparza Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

786 E Foothill Blvd
Ste D
Rialto, CA 92376
Phone (909) 874-7870

Practitioners & affiliated clinicians

Practitioners 3

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": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1124382296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 E FOOTHILL BLVD",
            "address_2": "STE D",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765285",
            "telephone_number": "909-874-7870",
            "fax_number": "909-986-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 E FOOTHILL BLVD",
            "address_2": "STE D",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765285",
            "telephone_number": "909-874-7870",
            "fax_number": "909-986-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPARZA DENTISTRY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESPARZA DENTISTRY, INC.",
        "enumeration_date": "2012-07-03",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-874-7870",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D45252-02",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B41648-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blanca M. Esparza D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.