NPIMap

Organization Active NPI

Dental Health Riverside

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1508021924
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53592 Issued in CA
Legal business name
DENTAL HEALTH RIVERSIDE
Practice address
6339 Brockton Ave
Riverside, CA 92506-2031
Phone
(951) 369-3597
Fax
(951) 369-0487
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mrs. Leticia Valenzuela
Title
Area Manager
Phone
(951) 369-3597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53592 CA Primary

Addresses

Primary practice location

6339 Brockton Ave
Riverside, CA 92506-2031

Mailing address

6339 Brockton Ave
Riverside, CA 92506-2031
Phone (951) 369-3597

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Corona3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6339 Brockton Ave
Riverside, CA 92506
Phone (951) 369-3597

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1508021924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062031",
            "telephone_number": "951-369-3597",
            "fax_number": "951-369-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062031",
            "telephone_number": "951-369-3597",
            "fax_number": "951-369-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "AREA MANAGER",
        "authorized_official_telephone_number": "951-369-3597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

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