Active NPI
Hareesh Dental Corp
Doing business as Perris Family DENTISTRY
- General Practice Dentistry
- Perris, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33041
- Legal business name
- HAREESH DENTAL CORP
- Doing business as
- Perris Family DENTISTRY
- Practice address
- 391 Wilkerson Ave
Suite B
Perris, CA 92570-2254 - Phone
- (951) 943-4007
- Fax
- (951) 943-1037
- NPI assigned
- Jan 10, 2007
- Last updated
- Apr 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hareesh Veerabhadraiah
- Title
- President
- Phone
- (951) 487-2455
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33041 | CA | Primary |
Addresses
Primary practice location
391 Wilkerson Ave
Suite B
Perris, CA 92570-2254
Mailing address
391 Wilkerson Ave
Suite B
Perris, CA 92570-2254
Phone (951) 943-4007
Other names 1
- Perris Family DENTISTRY
National Provider Directory
National Provider Directory- Tax ID family
- Hareesh Dental Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
391 Wilkerson Ave
Ste B
Perris, CA 92570
Phone (951) 943-4007
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Perris, CA
- NPI 1831238609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618704000000",
"number": "1558410019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 WILKERSON AVE",
"address_2": "SUITE B",
"city": "PERRIS",
"state": "CA",
"postal_code": "925702254",
"telephone_number": "951-943-4007",
"fax_number": "951-943-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 WILKERSON AVE",
"address_2": "SUITE B",
"city": "PERRIS",
"state": "CA",
"postal_code": "925702254",
"telephone_number": "951-943-4007",
"fax_number": "951-943-1037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAREESH DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2021-04-18",
"certification_date": "2021-04-18",
"status": "A",
"authorized_official_last_name": "VEERABHADRAIAH",
"authorized_official_first_name": "HAREESH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-487-2455"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "33041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Perris Family DENTISTRY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.