NPIMap

Organization Active NPI

William Juarez Dental Corp

  • Dentist
  • Palm Springs, CA
National Provider Identifier
1467627943
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CA45272 Issued in CA
Legal business name
WILLIAM JUAREZ DENTAL CORP
Doing business as
Sunrise dental office
Practice address
1717 E Vista Chino
Suite a-5
Palm Springs, CA 92262-3569
Phone
(760) 416-0833
Fax
(760) 416-1313
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
William Juarez, DDSNPI 1568637023
Title
Dentist
Phone
(760) 416-0833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X CA45272 CA Primary

Addresses

Primary practice location

1717 E Vista Chino
Suite a-5
Palm Springs, CA 92262-3569

Mailing address

1717 E Vista Chino
Suite a-5
Palm Springs, CA 92262-3569
Phone (760) 416-0833

Other names 1

  • Sunrise dental office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1717 E Vista Chino
Ste A5
Palm Springs, CA 92262
Phone (760) 416-0833

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1467627943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E VISTA CHINO",
            "address_2": "SUITE A-5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623569",
            "telephone_number": "760-416-0833",
            "fax_number": "760-416-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E VISTA CHINO",
            "address_2": "SUITE A-5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623569",
            "telephone_number": "760-416-0833",
            "fax_number": "760-416-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM JUAREZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-416-0833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA45272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise dental office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.