NPIMap

Organization Active NPI

Jose Enrique Arevalo DDS, Inc

  • Dental Clinic/Center
  • Chino Hills, CA
National Provider Identifier
1376783845
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49453 Issued in CA
Legal business name
JOSE ENRIQUE AREVALO DDS, INC
Practice address
13161 Peyton Dr
Suite B
Chino Hills, CA 91709-6006
Phone
(909) 465-6861
Fax
(909) 465-6867
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Jose Enrique Arevalo, D.D.S
Title
President/ Dentist
Phone
(909) 465-6861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49453 CA Primary

Addresses

Primary practice location

13161 Peyton Dr
Suite B
Chino Hills, CA 91709-6006

Mailing address

13161 Peyton Dr
Suite B
Chino Hills, CA 91709-6006
Phone (909) 465-6861

National Provider Directory

National Provider Directory

Locations

13161 Peyton Dr
Ste B
Chino Hills, CA 91709
Phone (909) 465-6861

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": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1376783845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13161 PEYTON DR",
            "address_2": "SUITE B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096006",
            "telephone_number": "909-465-6861",
            "fax_number": "909-465-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13161 PEYTON DR",
            "address_2": "SUITE B",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096006",
            "telephone_number": "909-465-6861",
            "fax_number": "909-465-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE ENRIQUE AREVALO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "909-465-6861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.