Active NPI
Ezabelle Hayek, DMD
- Dentist
- Moreno Valley, CA
National Provider Identifier
1235789777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS104382
- Practice address
- 24430 Alessandro Blvd
Moreno Valley, CA 92553-2435 - Phone
- (951) 601-0355
- NPI assigned
- Sep 17, 2019
- Last updated
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS104382 | CA | Primary |
Addresses
Primary practice location
24430 Alessandro Blvd
Moreno Valley, CA 92553-2435
Mailing address
2345 Eagle Creek LN
Oxnard, CA 93036-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS104382 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1235789777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 EAGLE CREEK LN",
"city": "OXNARD",
"state": "CA",
"postal_code": "930367772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24430 ALESSANDRO BLVD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925532435",
"telephone_number": "951-601-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYEK",
"first_name": "EZABELLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS104382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
- Mohamed Amin Hassan, D.D.S, M.S
- Rosie Hatchkhan
- Wadih Antony Hawat, D.O.
- Rebecca Marie Hawkey
- Terrie Hawthorne, MSW
- Megan Marie Haynes, MSN, BSN
- Heacock Health Medical Group, Inc.
- Heal and Renew Family Counseling Center, Professional Corporation
- Healing Path Family Therapy Professional Corporation
- Heart to Hearts Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.