Elgendi DDS Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELGENDI DDS CORPORATION

Doing business as

Norco Hills Advanced Dentistry

Practice address

1161 Hidden Valley Pkwy Ste 106
Norco, CA 92860-3917

Phone

(951) 582-0200

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Haitham Hamza Elgendi, DDSNPI 1720053325

Title

Dentist

Phone

(951) 582-0200

Specialties & licenses 1

Addresses

Other names 1

• Norco Hills Advanced Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haitham H Elgendi, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1720053325
  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1437897501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 HIDDEN VALLEY PKWY STE 106",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603917",
            "telephone_number": "951-582-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 HIDDEN VALLEY PKWY STE 106",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603917",
            "telephone_number": "951-582-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGENDI DDS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "ELGENDI",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_middle_name": "HAMZA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-582-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norco Hills Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tim Richard Doren, PA-C
• Glenn Doty
• Mia Marie Duarte, LVN
• Danna Dye
• Amy Alissa Dykes, ATC
• Camille Rose Ellis
• Empower Family Therapies
• Mackenna Erway
• Jennifer Escamilla
• Arturo Espinoza, M.A., NCSP

• Dental Clinic/Center in Norco, CA
• Providers in Norco, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.