Blanca Esparza, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41648 Issued in CA

Practice address

213 W G St
Ontario, CA 91762-3227

Phone

(909) 986-6180

Fax

(909) 986-6179

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Esparza Dentistry

  • Dentist
  • Ontario, CA
  • NPI 1578827648
  NPD (past)
• Esparza Dentistry Inc.

  • Dental Clinic/Center
  • Ontario, CA
  • NPI 1992271787
  NPD (past)
• Jebcob

  • Dentist
  • Ontario, CA
  • NPI 1255470803
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1528031788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N PALM AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623215",
            "telephone_number": "909-984-3618",
            "fax_number": "909-984-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W G ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623227",
            "telephone_number": "909-986-6180",
            "fax_number": "909-986-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "786 E Foothill Blvd Ste O",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765285",
            "country_code": "US",
            "telephone_number": "909-874-7870",
            "fax_number": "909-874-8761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5250 Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102483",
            "country_code": "US",
            "telephone_number": "909-613-1300",
            "fax_number": "909-613-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "BLANCA",
        "name_prefix": "Prof.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "10442-1",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "786491",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B41848-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erick Guillermo Esmenjaud, D.D.S.
• Esparza Dental Corporation
• Esparza Dentistry
• Esparza Dentistry Inc.
• Bianca Esparza, DDS
• Christopher Martinez Esparza, RDH
• Deyanira Esparza
• Logan Esparza
• Oscar Esparza, D.D.S
• Esperanza Ranch Psychology Services Corporation

• General Practice Dentistry in Ontario, CA
• Providers in Ontario, 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 Oct 18, 2018; 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.