NPIMap

Organization Active NPI

Sun Dental Office of Dr. Cervantes

  • General Practice Dentistry
  • Imperial, CA
National Provider Identifier
1154566743
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34071 Issued in CA
Legal business name
SUN DENTAL OFFICE OF DR. CERVANTES
Practice address
2387 US Highway 86
Imperial, CA 92251-9780
Phone
(760) 353-5100
Fax
(760) 353-0576
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Richard Cervantes, DDSNPI 1376767038
Title
Owner
Phone
(760) 353-5100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 34071 CA Primary

Addresses

Primary practice location

2387 US Highway 86
Imperial, CA 92251-9780

Mailing address

2387 US Highway 86
Imperial, CA 92251-9780
Phone (760) 353-5100

National Provider Directory

National Provider Directory

Locations

2387 US Highway 86
Imperial, CA 92251
Phone (760) 353-0576

Practitioners & affiliated clinicians

Practitioners 5

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1154566743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 US HIGHWAY 86",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519780",
            "telephone_number": "760-353-5100",
            "fax_number": "760-353-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 US HIGHWAY 86",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519780",
            "telephone_number": "760-353-5100",
            "fax_number": "760-353-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DENTAL OFFICE OF DR. CERVANTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-353-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.