Individual provider Active NPI

Roxanne Ramirez Herrera, DDS

  • Dentist
  • West Covina, CA
National Provider Identifier
1376051425
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS101587 Issued in CA
Practice address
266 S Glendora Ave Ste a
West Covina, CA 91790-3042
Phone
(626) 598-3344
NPI assigned
Jan 10, 2018
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS101587 CA Primary

Addresses

Primary practice location

266 S Glendora Ave Ste a
West Covina, CA 91790-3042

Mailing address

1047 E Ruddock St
Covina, CA 91724-2716
Phone (626) 641-8041

Other practice location 1

1129 S Glendora Ave
West Covina, CA 91790-4955
Phone (626) 919-7707

Other practice location 2

14270 Chino Hills Pkwy Ste D
Chino Hills, CA 91709-4880
Phone (909) 590-2229

Other practice location 3

380 S San Dimas Ave Ste 200
San Dimas, CA 91773-4046
Phone (909) 599-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS101587CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Man's Happy Dental Group, Inc. Past Accepting new patients
Kouz and Bato Dental Partnership Dentist Past Accepting new patients
Lisa Lien DDS Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1376051425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 E RUDDOCK ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242716",
            "telephone_number": "626-641-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S GLENDORA AVE STE A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903042",
            "telephone_number": "626-598-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 S Glendora Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917904955",
            "country_code": "US",
            "telephone_number": "626-919-7707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14270 Chino Hills Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917094880",
            "country_code": "US",
            "telephone_number": "909-590-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 S San Dimas Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917734046",
            "country_code": "US",
            "telephone_number": "909-599-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ROXANNE",
        "middle_name": "RAMIREZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.