Active NPI
Cecille Ho, DMD
- General Practice Dentistry
- Montclair, CA
National Provider Identifier
1568682003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 53706
- Practice address
- 5153 Holt Blvd
A2
Montclair, CA 91763-4820 - Phone
- (909) 625-6545
- Fax
- (909) 625-6544
- NPI assigned
- Apr 26, 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 | 53706 | CA | Primary |
Addresses
Primary practice location
5153 Holt Blvd
A2
Montclair, CA 91763-4820
Mailing address
5153 Holt Blvd Ste A2
Montclair, CA 91763-4837
Phone (909) 625-6545
Other practice location 1
5153 Holt Blvd
A2
Montclair, CA 91763-4820
Phone (909) 625-6545
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 |
|---|---|---|---|
| 53706 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1568682003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5153 HOLT BLVD STE A2",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917634837",
"telephone_number": "909-625-6545",
"fax_number": "909-992-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 HOLT BLVD",
"address_2": "A2",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917634820",
"telephone_number": "909-625-6545",
"fax_number": "909-625-6544"
}
],
"practiceLocations": [
{
"address_1": "5153 Holt Blvd",
"address_2": "A2",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "CA",
"postal_code": "917634820",
"country_code": "US",
"telephone_number": "909-625-6545",
"fax_number": "909-992-3596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HO",
"first_name": "CECILLE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2022-06-09",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "53706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.