Active NPI
Ophelia Garcia- Adamczuk, D.D.S.
- General Practice Dentistry
- Riverside, CA
National Provider Identifier
1558575472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36540
- Practice address
- 8992 Mission Blvd
Ste a
Riverside, CA 92509-2874 - Phone
- (951) 681-6611
- Fax
- (951) 681-6611
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36540 | CA | Primary |
Addresses
Primary practice location
8992 Mission Blvd
Ste a
Riverside, CA 92509-2874
Mailing address
8992 Mission Blvd
Ste a
Riverside, CA 92509-2874
Phone (951) 681-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36540 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Dental Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1790999506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558575472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8992 MISSION BLVD",
"address_2": "STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925092874",
"telephone_number": "951-681-6611",
"fax_number": "951-681-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8992 MISSION BLVD",
"address_2": "STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925092874",
"telephone_number": "951-681-6611",
"fax_number": "951-681-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMCZUK",
"first_name": "OPHELIA",
"middle_name": "GARCIA-",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "36540",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.