Jenney Dalida, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106496 Issued in CA

Practice address

19009 Van Buren Blvd
Riverside, CA 92508-9164

Phone

(951) 776-9001

NPI assigned

Jul 20, 2021

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.

• Elias, Elliott, Lampasi, Fehn, Harris & Nguyen, Adp

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1134314818
  NPD (past)
• Michael Wong Dental Corporation

  • General Practice Dentistry
  • Cerritos, CA
  • NPI 1952909582
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1366015240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19009 VAN BUREN BLVD STE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089166",
            "telephone_number": "951-776-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19009 VAN BUREN BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089164",
            "telephone_number": "951-776-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3487 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062115",
            "country_code": "US",
            "telephone_number": "951-369-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALIDA",
        "first_name": "JENNEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erlys Ann Daily, RN
• Daisy Wu, DPM, Inc.
• Dale E. Stringer D.D.S., Inc.
• Kenneth M Dale, D.O
• Jivaun Daley, PTA
• Nicholas Dalida, DDS
• Romeo Yambot Dalisay, OTR
• Hope Elizabeth Dalrymple
• Vanessa Sue Dalton, RDN
• Awit Dalusong, PH.D., BCBA-D

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.