NPIMap

Organization Active NPI

Peterescutindds

  • Dental Clinic/Center
  • Corona, CA
National Provider Identifier
1215302674
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
38992 Issued in CA
Legal business name
PETERESCUTINDDS
Practice address
3848 N McKinley St Ste D
Corona, CA 92879-6113
Phone
(951) 371-2424
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Peter Escutin
Title
Owner
Phone
(951) 371-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 38992 CA Primary

Addresses

Primary practice location

3848 N McKinley St Ste D
Corona, CA 92879-6113

Mailing address

3848 N McKinley St Ste D
Corona, CA 92879-6113
Phone (951) 371-2424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1215302674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 N MCKINLEY ST STE D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796113",
            "telephone_number": "951-371-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 N MCKINLEY ST STE D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796113",
            "telephone_number": "951-371-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERESCUTINDDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "ESCUTIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-371-2424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.