Individual provider Active NPI

Feliza Helen Beleno Banez, DMD

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1528194289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50569 Issued in CA
Practice address
9193 Sierra Ave Ste D
Fontana, CA 92335-4776
Phone
(909) 822-2226
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50569 CA Primary

Addresses

Primary practice location

9193 Sierra Ave Ste D
Fontana, CA 92335-4776

Mailing address

9193 Sierra Ave Ste D
Fontana, CA 92335-4776
Phone (909) 822-2226

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160504000420 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1850690470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50569CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lubczuk Professional Dental Corporation General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: feliza.banez.p3@direct.parktreechc.nextgenshare.com
  • Direct secure messaging: feliza.banezdds.p1@direct.jwch.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528194289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9193 SIERRA AVE STE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354776",
            "telephone_number": "909-822-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 SIERRA AVE STE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354776",
            "telephone_number": "909-822-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEZ",
        "first_name": "FELIZA HELEN",
        "middle_name": "BELENO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.