Individual provider Active NPI

Renan Orlando Chirinos, DDS

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1376687574
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52592 Issued in CA
Practice address
212 W C St Ste a
Ontario, CA 91762-3404
Phone
(909) 395-9894
Fax
(909) 459-1294
NPI assigned
Feb 19, 2007
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52592 CA Primary

Addresses

Primary practice location

212 W C St Ste a
Ontario, CA 91762-3404

Mailing address

8636 Orchard Park Dr
Riverside, CA 92508-2975
Phone (909) 910-6799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330002616 CA Order and Referring Only - DentistPractitioner - Dentist 9133426455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52592CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Renan Chirinos DDS Inc Past Accepting new patients

Organizations & group practices 1

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1376687574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8636 ORCHARD PARK DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082975",
            "telephone_number": "909-910-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W C ST STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623404",
            "telephone_number": "909-395-9894",
            "fax_number": "909-459-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRINOS",
        "first_name": "RENAN",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.