NPIMap

Organization Active NPI

Hon V Cao DDS Inc

  • Dentist
  • Riverside, CA
National Provider Identifier
1164510004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CA38655 Issued in CA
Legal business name
HON V CAO DDS INC
Practice address
3667 Arlington Avenue
Riverside, CA 92506-3939
Phone
(951) 684-6600
Fax
(951) 684-3631
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hon Van Cao, DDSNPI 1740352129
Title
President
Phone
(951) 684-6600

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA38655 CA Primary

Addresses

Primary practice location

3667 Arlington Avenue
Riverside, CA 92506-3939

Mailing address

3667 Arlington Avenue
Riverside, CA 92506-3939
Phone (951) 684-6600

Other identifiers 1

IdentifierTypeStateIssuer
G9069701OtherCADENTICAL MEDICAL

Other names 1

  • Riverside Family Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

3667 Arlington Ave
Riverside, CA 92506
Phone (951) 684-6600

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164510004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3667 ARLINGTON AVENUE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063939",
            "telephone_number": "951-684-6600",
            "fax_number": "951-684-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 ARLINGTON AVENUE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063939",
            "telephone_number": "951-684-6600",
            "fax_number": "951-684-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HON V CAO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "HON",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-684-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA38655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL MEDICAL",
            "identifier": "G9069701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 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.