Dakandryia Peters, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105229 Issued in CA

Practice address

2019 N Riverside Ave # C
Rialto, CA 92377-4657

Phone

(909) 877-2000

NPI assigned

Apr 4, 2019

Last updated

Dec 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1205398567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 S ISABELLA AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917545531",
            "telephone_number": "619-847-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 N RIVERSIDE AVE # C",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774657",
            "telephone_number": "909-877-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 S Isabella Ave",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917545531",
            "country_code": "US",
            "telephone_number": "619-847-1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15769 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906382510",
            "country_code": "US",
            "telephone_number": "562-217-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DAKANDRYIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Perez
• Claudia Cecilia Perez
• Genesis Charity Perez
• Maribel Perez
• Tiffanay Michelle Perry, LMFT
• Lizeth Peters
• Kimberly Peterson, O.D.
• Andy M Pham, PHARM. D.
• Mai-Duyen Pham
• Lynn Thu Phan

• General Practice Dentistry in Rialto, CA
• Providers in Rialto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.