NPIMap

Organization Active NPI

Jerry Morana, Jr., DDS, a Professional Corporation

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1316135122
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43372 Issued in CA
Legal business name
JERRY MORANA, JR., DDS, A PROFESSIONAL CORPORATION
Practice address
6117 Brockton Ave
Suite 103
Riverside, CA 92506-2232
Phone
(951) 686-7420
Fax
(951) 686-6251
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Jerry Morana Jr., D.D.S.
Title
President
Phone
(951) 686-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43372 CA Primary

Addresses

Primary practice location

6117 Brockton Ave
Suite 103
Riverside, CA 92506-2232

Mailing address

6117 Brockton Ave
Suite 103
Riverside, CA 92506-2232
Phone (951) 686-7420

National Provider Directory

National Provider Directory

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": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1316135122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 BROCKTON AVE",
            "address_2": "SUITE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062232",
            "telephone_number": "951-686-7420",
            "fax_number": "951-686-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 BROCKTON AVE",
            "address_2": "SUITE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062232",
            "telephone_number": "951-686-7420",
            "fax_number": "951-686-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MORANA, JR., DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MORANA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-686-7420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43372",
            "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 Oct 5, 2007; 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.