Bernice Marie Dyquiangco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102472 Issued in CA

Practice address

6700 Indiana Ave Ste 115
Riverside, CA 92506

Phone

(951) 276-2222

NPI assigned

Jun 15, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Desar Professional Dental Corporation

  dba Victoria Village Dentistry

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1487792586
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1306330162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE STE 115",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE STE 115",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-276-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYQUIANGCO",
        "first_name": "BERNICE MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Dycus
• Ruth Ann Dye, RN
• John Dyer
• Nichola Jayne Dykes
• Alissel Ann Dyquiangco
• Wayne Dysinger, M.D.
• Andre Dzhambazian
• Bryan Dzvonick, N.D.
• Chandrasekhar Eadara
• Eadara, Inc. (Magnolia Pharmacy)

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.