Glenn C Delaroca, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52372 Issued in CA

Practice address

999 E Morton PL
Suite B
Hemet, CA 92543-4534

Phone

(951) 925-7696

Fax

(951) 765-2893

NPI assigned

Aug 30, 2006

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1407966930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E MORTON PL",
            "address_2": "SUITE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434534",
            "telephone_number": "951-925-7696",
            "fax_number": "951-765-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E MORTON PL",
            "address_2": "SUITE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434534",
            "telephone_number": "951-925-7696",
            "fax_number": "951-765-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAROCA",
        "first_name": "GLENN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flocerfida B Dejesus, MD
• Sandra Jennifer Del Valle, PA
• Dizarelle A Dela Cruz
• Sergio Omar Dela Rosa
• Christina Patterson Delano, LCSW
• Samantha Dena, LVN
• Christine Denarola, M.S. CCC-SLP
• Jeanette Lynn Denton
• Dennis Deserva
• Tobias Dieter Desjardins, LCSW

• General Practice Dentistry in Hemet, CA
• Providers in Hemet, 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 Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.