Active NPI
Community Dental Services
Doing business as SmileCare Dental Group
- Dentist
- Moreno Valley, CA
National Provider Identifier
1326112558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COMMUNITY DENTAL SERVICES
- Doing business as
- SmileCare Dental Group
- Practice address
- 12125 Day St
BLDG N Suite 211
Moreno Valley, CA 92557-6702 - Phone
- (951) 222-2000
- Fax
- (951) 222-2132
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Elaine Salcido
- Title
- Contract Supervisor
- Phone
- (714) 708-5308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
12125 Day St
BLDG N Suite 211
Moreno Valley, CA 92557-6702
Mailing address
2 Macarthur PL
Suite 700
Santa Ana, CA 92707-5924
Phone (714) 708-5308
Other names 1
- SmileCare Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- Community Dental Service
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
12125 Day St
Ste N211
Moreno Valley, CA 92557
Phone (951) 222-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326112558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MACARTHUR PL",
"address_2": "SUITE 700",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927075924",
"telephone_number": "714-708-5308",
"fax_number": "714-708-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12125 DAY ST",
"address_2": "BLDG N SUITE 211",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925576702",
"telephone_number": "951-222-2000",
"fax_number": "951-222-2132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY DENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SALCIDO",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "CONTRACT SUPERVISOR",
"authorized_official_telephone_number": "714-708-5308",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SmileCare Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Moreno Valley, CA
- Andrea Colosky
- William Charles Coman, CADC I
- Lanett Combs
- Community Center for Healthy Minds (CCHM)
- Community Dental of Dr. CHI
- Community Health Systems, Inc. (Moreno Valley Family Health Center)
- Compassionate Senior Solutions LLC
- Marinor Anne Marcelo Concepcion, DO
- Sophia Daniela Conde, MSW
- Pilar J Condry, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.