Active NPI
Juan Antonio Trejo Canchola Dental Corporation
- Point of Service
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 61049
- Legal business name
- JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION
- Practice address
- 9867 Magnolia Ave Ste E
Riverside, CA 92503-3519 - Phone
- (951) 352-2112
- Fax
- (951) 352-2088
- NPI assigned
- Jul 16, 2014
- Last updated
- Jul 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Antonio T. Trejo Canchola, DDS
- Title
- Managing Dentist
- Phone
- (951) 842-0803
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 61049 | CA | Primary |
Addresses
Primary practice location
9867 Magnolia Ave Ste E
Riverside, CA 92503-3519
Mailing address
9867 Magnolia Ave Ste E
Riverside, CA 92503-3519
Phone (951) 352-2112
National Provider Directory
National Provider Directory- Tax ID family
- Juan Antonio Trejo Canchola Dental Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Laguna Hills, CA
- NPI 1689039570
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1528336906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1215344783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9867 MAGNOLIA AVE STE E",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033519",
"telephone_number": "951-352-2112",
"fax_number": "951-352-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9867 MAGNOLIA AVE STE E",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033519",
"telephone_number": "951-352-2112",
"fax_number": "951-352-2088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN ANTONIO TREJO CANCHOLA DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "TREJO CANCHOLA",
"authorized_official_first_name": "JUAN ANTONIO",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "MANAGING DENTIST",
"authorized_official_telephone_number": "951-842-0803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "61049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.