Carlos Heriberto Quinonez, RDHAP, BS

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

742 Issued in CA

Practice address

16077 Chella Dr
Hacienda Heights, CA 91745-6402

Phone

(323) 447-5480

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1538760459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16077 CHELLA DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456402",
            "telephone_number": "323-447-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16077 CHELLA DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456402",
            "telephone_number": "323-447-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "CARLOS",
        "middle_name": "HERIBERTO",
        "name_prefix": "Mr.",
        "credential": "RDHAP, BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL HYGIENE BOARD OF CALIFORNIA",
            "identifier": "742",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDHAP",
            "identifier": "742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Karen Elizabeth Ramirez, FNP
• Mariah Ramirez
• Samai Ramirez
• Victoria Ramirez

• Advanced Practice Dental Therapist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.