Organization Active NPI

H.Hareesh

  • Dentist
  • San Jacinto, CA
National Provider Identifier
1255749016
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33041 Issued in CA
Legal business name
H.HAREESH
Practice address
480 N State St Ste I
San Jacinto, CA 92583-6521
Phone
(951) 487-2455
Fax
(951) 487-2460
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Hareesh Hareesh, DDS
Title
Owner
Phone
(951) 487-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 33041 CA Primary

Addresses

Primary practice location

480 N State St Ste I
San Jacinto, CA 92583-6521

Mailing address

480 N State St Ste I
San Jacinto, CA 92583-6521
Phone (951) 487-2455

Other names 1

  • san jacinto family dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

480 N State St
Ste I
San Jacinto, CA 92583
Phone (951) 487-2455

Practitioners & affiliated clinicians

Practitioners 1

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": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1255749016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N STATE ST STE I",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836521",
            "telephone_number": "951-487-2455",
            "fax_number": "951-487-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N STATE ST STE I",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836521",
            "telephone_number": "951-487-2455",
            "fax_number": "951-487-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.HAREESH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "HAREESH",
        "authorized_official_first_name": "HAREESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-487-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san jacinto family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.